Secure New Patient Registration Forms

We are pleased to provide the new patient forms for secure online completion. You will notice that the new patient forms are very comprehensive. This is because most patients have seen multiple doctors before they have seen Dr. Hirschinger, at his office in Beverly Hills, so he needs to know everything that has been previously tried, including past and current medications, past and current treatments, etc. Also, because most patients with chronic head and neck pain have been suffering for months or years with their pain, including migraine headaches, jaw muscle pain, TMJ pain, nerve pain, including burning mouth syndrome, etc., he needs as much information as possible to help you, and you likely have not been asked many of these questions before. Dr. Hirschinger’s goal is to obtain an accurate diagnosis to provide you with the best treatment, which is why he needs the information requested. Therefore, please take the time to complete the forms and provide as much information as necessary so that Dr. Hirschinger can provide you with the best care possible.