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Patient Forms

Please download the necessary forms, print them and fill out the required information. It will make your appointment more efficient and allow the doctor to spend more time with you. 

Initial Visit Paperwork

Bring this on your first visit or if you like fax the  completed forms to (631) 675-2760.

Consent to treat minor

Parents or guardians of patients under 18-years-old need must give their consent to treat their child.

Care Credit Financing

Instant credit decisions*, no activation fee and you can use it again and again at over 200,000 locations across the country. Apply online or by phone 1-800-677-0718. Click on the icon to apply or find out How it works.

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