Patient Forms

In an effort to save time and make things easier for our patients, we have posted all the required admittance forms on-line. Please click on the documents below (PDF files) and print them.  Please bring the completed forms with you to your scheduled appointment.

If you have any questions, please contact the center at (718) 512-2160.

• Patient Information Form
• Patient Confidentiality Agreement
• Records Release
• Physician Contact
• HIPAA Patient Privacy Notification

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