1. Inquiry Form
Please click here for the Inquiry form to use for prospects. Print it out, complete it, and send the completed form to staff in a standard group email.
2. Registration Form
Please click here for the registration form for new patients. Print it out, complete it, and either A) scan (or photograph) and email it (email it to: firstname.lastname@example.org) to us, or B) fax it (fax it to 516-530-1819) to us.
3. Informed Consent Notice
Please click here for the Informed Consent Notice, which contains important information for new patients.
4. BC BS Reimbursement Notice
Please click here for important reimbursement information for those covered by Blue Cross Blue Shield