Appointment Information

To schedule your appointment with one of our physicians, please contact our appointment staff at (212) 265-2828 or click on the Make An Appointment button below.

MAKE AN APPOINTMENT


REQUIRED PATIENT FORMS

Please download and fill out the required forms listed below. Please bring these completed forms to our office at the time of your appointment.

Patient Registration Form

Medical History Questionnaire

Privacy Health Information

Acknowledgement of Receipt of Notice of Privacy Practices

If the problem for which you are being seen is either work-related or related to a motor vehicle accident, please see below:

For work-related conditions or problems, please fill out the following form as well:

Workers' Compensation Form


For motor vehicle related conditions or problems, please fill out the following form as well:

No-Fault Form

[Note: You will need Acrobat Reader to view the forms listed on this page. If you do not have Acrobat Reader, you may download it here : download Reader]

PREPARING FOR YOUR APPOINTMENT

Please bring the following with you on the date of your visit:

1. All completed registration forms.
2. Your health insurance card and valid photo ID.
3. All copies of medical records and imaging if you have had previous treatment for the injury for which you are being seen.

Payments for all co-pays, co-insurance, and deductibles will be collected when you check in on the day of your appointment.

A 24-hour advance notice is required when canceling your appointment to avoid a no-show fee.