Printed Forms
For your convenience, patient registration forms are available to complete prior to your appointment.
Note: These files are in PDF format. If you do not have Adobe Reader, you can download it for free by clicking here.
NEW PATIENTS: please print out these forms for your first visit
if you need to obtain records from another doctor, please use this form:
Release of Medical Records.pdf
ESTABLISHED PATIENTS: if your last visit was over six months ago, please print out this form for your next visit
Medical History Questionnaire.pdf
Appointments & Cancellations
To schedule an appointment, please call 718-353-8460. If your plans change and you are unable to keep your appointment, please call the office 24-hours in advance to allow other patients who may be waiting for care.
PLEASE DIAL 911 IF YOU BELIEVE YOU NEED IMMEDIATE EMERGENCY CARE!
Payment
The following methods of payment are accepted for co-payments, deductibles and services that are not covered by insurance:
- Credit Cards: Visa, Mastercard, Discover
- Check: only if an established patient
- Cash
Full payments are requested at each visit.