Patient Forms

Below you will find forms that you can download, print, and fill out prior to your first appointment. This will make processing and consultation go faster, but it is not necessary.

Please print, fill out, and bring to your appointment

New Patient Paperwork

Patient Information Downloads

Please click on the links below to download the patient information sheet your need.


Everything we do is designed around the idea of making you feel comfortable – from the time you walk into our offices until the time you leave. Additionally, you can rest assured that our services are discrete and confidential.

While most non-surgical procedures are done in our office, other procedures requiring anesthesia are performed at our affiliated surgical centers such as Lyndhurst surgery center, or Ahuja medical center, both affiliated with University Hospitals – Case Medical Center.  Per patient request, surgeries can be performed at other surgery centers.

Brainard Surgery Center (Zeeba Clinic)

Brainard Surgery Center provides expert care close to home. Combining outpatient surgical expertise with personalized care in a comfortable setting, UH Lyndhurst is centrally located at 29017 Cedar Rd., Lyndhurst, just east of Interstate 271.

UH Ahuja Medical Center

UH Ahuja Medical Center was designed for maximum comfort and efficiency, and offers comprehensive patient-centered care, advanced technology and therapies and a wide range of inpatient and outpatient services. Located in Beachwood, Ohio.

Ponsky & Frankel Facial Plastic Surgery
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