In addition to completing the forms, please note that we will require the following information for your first visit:
Please note: by law, minors must be accompanied by a parent or guardian.
Please arrive at least 15 minutes early if you have not yet filled out these forms. If you have completed forms with you, you only need to check in with the reception desk 5 minutes before your scheduled appointment.
Thank you for your assistance in completing this information. We look forward to seeing you on the day of your appointment!
Please fax 516-355-5457 or mail the completed form to 2001 Marcus Ave., Suite W170, Lake Success, NY 11042.