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Patient Forms

Initial Patient Encounter Forms

Prior to your first visit with Dr. Khosh, please download, print, and fill out the initial patient encounter form, and the patient history form:

Patient registration and health history

Please download the HIPAA privacy form, read it over, and sign at the bottom of the form.

HIPAA Privacy Form

Bring in all forms with you to your first visit with Dr. Khosh. If you do not have time to download the forms and fill them out, you will be able to do so in the office prior to the start of your visit.

Facial Plastic Surgery logo. Americany Academy of Facial Plastic and Reconstructive Surgery, Inc.Castle Connolly Top DoctorsBest Doctors logoTop Patient Rated New York Plastic Surgeon 2016Top Patient Rated New York Plastic Surgeon 2017Top Patient Rated New York Plastic Surgeon 2018
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Maurice M. Khosh, MD, FACS
Facial Plastic & Reconstructive Surgery
Nasal & Sinus Surgery

580 Park Avenue, Suite 1BE,
New York, NY 10065
(212) 339-9988
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