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Save time! Download these forms.............

 

If you are visiting us for the first time or if you have been requested to update some of your personal information with us, we recommend you do two things:

1-   Download the forms below and fill them out completely prior to visiting our office.  This will save you time and will help you provide accurate and complete information.

Patient Intake Questionaire
Questionaire

New Patient Registration
Registration

HIPAA form
HIPAA

 

2-   Bring the following documents: a) an updated photo ID, preferrably your driver's license, or a NY state issued ID card, and b) your latest health insurance card.  The information on these documents will not be shared with anyone unless needed for the services we will provide to you, this, according to our “Notice Of Privacy Practices” which is compliant with HIPPA laws.  Please click on the 'HIPPA" button above for said notice.

 

 

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