New Patient Information

New patient MUST call the office to schedule an appointment and must be accompanied by a parent or a legal guardian with legal documentation.

On this page you will find forms that will help expedite with the registration process. Please download the forms and fill them out prior to your first office visit.

Please bring with you the forms you filled out, any previous vaccine records, any medical notes, insurance card and parent’s or legal guardian’s photo ID. If your child is a newborn, then please ALSO bring the hospital discharge papers, and newborn screening pink slip.

Transfer into the Practice from another Physician:

Refer to our insurance page to determine if we are participating providers with your insurance plan. Call our office at 718-353-2300 and let us know you would like to register as a new patient. Our staff will ask for some basic demographic and insurance information.

Contact your current physician to request that your child’s records be FAXED to us at 718-353-2454. Your current physician will need you to sign a records release form.

  • For new patients, all initial appointments are “sick visits,” and will be billed to your insurance with applicable copays. We use this time to meet you and your child, review medical records, and go over any issues.
  • We DO NOT do initial Well Visits for first time visits, as these are intended to be “well” visits and do not allot enough time to review your records and past medical history.
Patient Registration Form
PARENTAL CONSENT FORM
FINANCIAL POLICIES FORM
HIPAA AUTHORIZATION FORM
Healthix Information Exchange Consent