DATE:_____________________________ TO:_____________________________
Please perform the following test on patient
(NAME):_____________________________________________________________
CBC_X_____________________________ SMA 7___________________________
PT/PTT___________________ CMP____________________X_________________
CHEST X-RAY__________________________ EKG__________________________
URINE PREGNANCY_______________X________________ UA_______________
HbA1c_____________________ H&P/MedicalClearance____________________
OTHER:______________________________________________________________
Procedure Date:_______________________06/10/19______________________
Diagnosis: Pre-op clearance
Please Fax results to 646-842-9164 or email results to Millennialps@gmail. If there are any questions, please call or text at 646-659-9099 Monday-Friday 9am to 5pm. Thank you for your cooperation and with the assistance in the care of this patient.
Sincerely,
Dr. David Shokrian, M.D.
NY License # 263932-1
UPIN # 1811253081
ALL LABORATORY REQUESTS MUST BE COMPLETED AND RECEIVED BY OUR OFFICE ONE WEEK PRIOR TO SURGERY.
I’m Dr. Shokrian, a cosmetic surgeon with over 14 years of experience providing advanced, targeted procedures tailored to your needs. As a master of body sculpting and fat transfer, I specialize in enhancing various areas of the body. With thousands of successful treatments under my belt, including liposuction and cosmetic surgery for the face, breasts, and body, I treat men, women, and people who are transitioning.
My education, which includes a Medical Degree from the Tel Aviv University Sackler in Israel and two medical fellowships, has led me to realize that discovering an individual's inner beauty requires an open, direct relationship and a complete grasp of their own aesthetic desires.
More about Dr. Shokrian