740 Park Avenue, New York, New York
1-800-822-6058 1-800-822-6058

New Patient / Office Policies

The following can give you some helpful details about our office policies, as well as downloadable forms to help you save time should you decide to visit our practice for a consultation with Dr. Stafford Broumand. Please note that we do require a credit card (Visa, MasterCard, or American Express) to hold appointments, and we respectfully suggest that you arrive for a scheduled appointment at least 15 minutes early. If you have any questions or concerns, please contact us and we will be happy to speak with you.

Patient Forms

In order to reduce the time you spend waiting in our office, Dr. Broumand has provided several forms that can be completed online. These forms are secure, so that only Dr. Broumand may view the information on them. To begin, please click on the button below:

New Patient Form

HIPAA Laws & Regulations

If you would like a copy of current HIPAA laws and regulations, please click on the button below:

Download HIPAA Information

Cancellation Policy

Your treatment arrangements and selected appointment times are held exclusively for you. If you find it necessary to reschedule or cancel, we respectfully request a minimum notification of 48 hours in advance. Cancellations, changes or missed appointments will be charged a fee to your credit card.


Our experienced aesthetician offers a number of skin care services that can help you renew and rejuvenate your skin. Gratuities are always appreciated! For more information on our skin therapy options, please visit our Medi Aesthetics page.


Our office utilizes TouchMD. To visit the patient portal, click on the logo below.

ABMS Maintenance of Certification
SRB Plastic Surgery BBB Business Review