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ERECTILE DYSFUNCTION
ED Overview
ED and Prostate Cancer
ED and Diabetes
ED - Other Causes
PENILE IMPLANT / PROSTHESIS
Why Choose Dr. Eid
Internal Penile Pump
Procedure Description
No-Touch Technique
Frequently Asked Questions
Patient Testimonials
Types of Penile Implants
Advancement in Penile Prosthesis
OTHER ED TREATMENTS
Oral Treatment
Penile Injection Therapy
Urethral Medications
Vacuum Devices
URINARY DYSFUNCTION
Benign Prostate Hyperplasia (BPH)
BPH Treatment Options
Urinary Incontinence
Urinary Incontinence Treatment
COSMETIC PENILE SURGERY
Cosmetic Circumcision
Frenuloplasty
Peyronie's Disease
EJACULATION DYSFUNCTION
Premature Ejaculation
Retrograde Ejaculation
Anejaculation
TESTIMONIALS
A simple word of appreciation for what you've done is certainly inadequate, but I assure you this comes from the depths of my heart: Thank you for making me feel whole again!
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CONTACT INFORMATION
J. Francois Eid, M.D.
50 East 69th Street
New York, NY 10021
Ph: 212-535-6690
Fax: 212-535-7025
ABOUT PHYSICIAN
Dr. Eid Background
Mission Statement
Recognitions
EDUCATIONAL RESOURCES
Photographs
Videos
Books & Products
PATIENT INFORMATION
Patient Testimonials
Download Forms
Hotel Information
NON-RESIDENT SERVICES
Phone Consultation
Travel Logistics
Insurance, Cost & Scheduling
Home | Download Form

Download Forms

You will need the Adobe Acrobat Reader installed on your computer to view our forms. You can download it for free from here.

 Patient HistoryPatient History - This is one of the forms you will need to fill out at your first appointment. You can review it now, or print it out and bring a completed version with you.
 Patient HistoryPatient-History-Form - Other Information
 Patient HistoryPost Operative Instructions
 Patient History Duplex Sonography
 Patient HistoryInformed Consent For Internal Penile Pump
 Pre Testing InstructionsPre-Operative Instructions For Surgery At The Center For Specialty Care
 Pre Testing InstructionsPre-Testing Instructions For Surgery At Lenox Hill Hospital
 Pre-Testing InstructionsPre-Testing Instructions For Surgery At New York-Weill Cornell Center
 Pre-Testing Instructions List Of Cardiologist / Internal Medicine For Medical Clearance Referral
 Urodynamics Information Urodynamics Information
 How to Take Medications How To Take The Medications
 Cialis Drug Store PricesCialis Drugstore Prices
 Effect of AMS products on MRIEffect of AMS products on MRI (magnetic resonance imaging) - AMS Letter
 MRI CompatibilityMRI Compatibility and Latex Content - Coloplast Letter

 


 

Home Contact Site Map Website Disclaimer Telephone Consultation
ED OverviewED and Prostate CancerED and DiabetesED - Other Causes
Why Choose Dr. EidInternal Penile PumpProcedure DescriptionNo-Touch TechniqueTypes of ImplantsFrequenty Asked QuestionsPatient Testimonials
Oral TreatmentPenile Injection TherapyUrethral MedicationsVacuum Devices
Cosmetic CircumcisionFrenuloplastyPeyronie's Disease
Benign Prostate Hyperplasia (BPH)BPH Treatment OptionsUrinary IncontinenceUrinary Incontinence Treatment
AnejaculationPremature EjaculationRetrograde Ejaculation
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J. Francois Eid, M.D. 50 East 69th Street New York, NY 10021
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