David E. Freilich, M.D. Premiere Ophthalmic Plastic Surgeon
Service 1
Blepharopasty Rejuvenate Your Eyes Learn More
Service 2
Eyebrow & Forehead Lift Learn More
Service 3
Facial Fillers Help Smooth Fine Lines Learn More
Service 4
Eyelid Reconstruction / Skin Cancer Learn More

Patient Forms

We understand that time is important to you. For this reason, we have provided our new patient forms below. Please fill them out before coming to your first appointment. This process will allow your first visit to go more smoothly, expediting the sign-in process as soon as you arrive.

You will need Adobe Reader to view these files. You can download Adobe Reader here.

If you have any questions or concerns, or need help filling out the forms, please call our office at 212.410.5000 or use our online contact form. We will be happy to assist you.

  • New Patient Form (Coming soon)
  • HIPPA Policy (Coming soon)
Highlight One Highlight Subtitle One Learn More
Highlight Two Highlight Subtitle Two Learn More


Skip to content