7031 108th Street Suite 10, Forest Hills, NY 11375

Patient Forms

In order to facilitate the registration process, please fill out the forms that apply and bring them to the Doctors office on the day of your appointment. 

Required Forms:

New Patient Registration Form

Child History Questioner Form

Financial Release and Consent Form

Eligibility Screening Form  

Privacy Notice Receipt

Children under 12 cannot be seen without being accompanied by a parent or a guardian.

Consent to Treat Without Parent Form

No Show Policy