Patient Forms


New patients: Please complete the new patient packet before your visit with Dr. Hirsch.

Click to fill out:


Post Operative Instructions

Click on the following link to download the drain output log.  Bring this with you to your follow up appointment:

Drain output record


Please watch the video below to learn how to care for your drains.

Out of town patients


Please contact our office and we will be happy to help you arrange your travel.  This information sheet has some highlights of the area as well as important information about your procedure.

Out of town patient sheet

Click on the links below to download post-operative instructions for your procedure:


Breast Procedures:

Breast Implant Removal
Breast Implant Removal with Lift
Breast Reduction
Breast Lift
Breast Augmentation
Breast Lift with Implants
Inverted Nipple Repair

Face Procedures

Facelift/Necklift
Blepharoplasty
Rhinoplasty/Septoplasty
Earlobe Repair



Your privacy is important to us!  Please review our practice privacy policy, which can be downloaded by clicking on the below link titled "Privacy Policy." 

Click to download:  Privacy Policy