Patient Forms

For your convenience, we have provided all of our forms online.

Please bring a completed copy of all forms to your first consultation. Click to view, print or download. If you have any questions when filling out these forms, feel free to call us at+1 (973) 912-9120. Please bring your completed forms with you on the date of your consultation.

Patient Forms

Office Policies

Payment

Payment can be made in the form of check or credit card at the time office services are rendered. We accept AMEX, Visa, MC and Discover.

Consultation fee

We charge for consultations. There is a fee of $250 for your visit with Dr. Bev.

Cancellation Policy

If you are unable to keep an appointment, we ask that you kindly provide us with at least 24 hours’ notice. This courtesy, on your part, will make it possible to provide our wait listed clientele with services. We hold your credit card but do not charge it unless you forget to cancel or don’t arrive for your appointment. The charge for a “no show” is $250.
We ask that you contact us if road conditions are unfavorable and you anticipate being more than 15 minutes late for your appointment. We will do our very best to accommodate you under all circumstances.

Resources

Patient Forms

For your convenience, we have provided all of our forms online.

Office Policies

Payment

Consultation fee

Cancellation Policy

Beverly Friedlander MD

Featured Services

Botox / Daxxify Neurotoxin

Fillers

Facial Balancing

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