Use these forms to make your visit as smooth and quick as possible.

To open each form, simply click on its name which appears here in blue and underlined. Next, print out the form. Then fill it in. And don’t forget to bring it with you! Be sure to read the New Patient Letter—it gives you lots of important information, and a list of everything you need to bring with you.


Comprehensive Questionnaire: This gives us a much more in-depth understanding of your current health and medical history.

Download the Comprehensive Questionnaire

 

HIPPA form: This authorizes your physician to release information about your health to particular people or medical institutions in keeping with your wishes.

Download HIPPA Form

New Patient Confirmation Letter: Conveniently collected for you in one place is the following information:

  • Our address
  • Our phone number
  • How to cancel an appointment with NO fee penalty
  • What to bring with you to your appointment

Download New Patient Confirmation Letter

Make an Appointment
We are open Monday through Friday from 8:30 am to 5 pm.

Senior Health
212.463.0101

House Calls
212.206.1299

Our patients can reach a doctor after 5 pm or on the weekends by calling
212.463.0101.