Forms and Questionnaires
Paperwork, handled the way health information should be handled.
We do not collect health information through this website. General web forms and ordinary email are not appropriate for medical history, symptoms, insurance details, or anything else covered by health privacy rules.
Call us at (646) 781-8884 and we will send you the current intake paperwork directly, through a method appropriate for the information involved. Someone answers 24 hours a day, seven days a week.
If your physician needs to send a referral, our fax line for referrals is (646) 530-6795.
What to have ready for your first visit
- A list of your current medications
- Any imaging reports you have, such as MRI, X-ray, or ultrasound
- The name and contact details of your referring physician, if you have one
- A short history of the problem, including when it started and what makes it worse
Call and we will send your paperwork.
A person answers 24 hours a day, seven days a week.
Office: 119 West 57th Street, Suite 212, New York, NY 10019. House calls throughout NYC.