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Now you can order Dr. Hellman's Gift Certificates online.
  It's fast and easy. Just complete the form below and we'll call you 
  for your payment information. If you need personal assistance or want 
  to customize a combination of services, please call us at 212-751-0577. 
  We would be happy to hear from you.

Please provide the following information:

Contact Information 

*Name   
Street Address   
City   
State/Province   
Zip/Postal Code   
Country   
Day Phone   
Cell Phone   
Night Phone   
*E-mail   
    
Certificate To   
Certificate From   
How did you 
hear about us?
  





Click here to
see Dr. Hellman's
sample Certificate



Type of Certificate


Please choose one of these different types of services. If you wish to combine more 
  than one service, choose "other" and we'll contact you to create a customized gift 
  certificate.



Delivery

Please check one of the following options:

Mail Certificate to me
Mail Certificate to recipient
Pickup at Dr. Hellman's clinic 
Other - contact me 


If sending to Recipient, please provide the following information:

Name
Street Address
City
State/Province
Zip/Postal Code
Country
Comments/ 
message to
recipient

Payment

Once we have received your Gift Certificate order by email, we will total your 
  gift and call you for your payment information. If you do not get a call within
  72 hours, you may call us at 212-751-0577 regarding your order.
  We accept all payment methods. 

 

 
       © 2008 Judith Hellman, MD. All rights reserved.





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