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
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:
[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.