Please read through and complete all of the documents below to the best of your ability. In addition, we request the following:

  • A copy of insurance card (front and back)
  • Any pertinent medical records
  • A copy of a valid photo ID (e.g. driver’s license, passport, etc.)

Click here to download – New Patient Questionnaire

Please send all documents to or fax them to (212) 689-1116 as soon as possible, at least 48 hours prior to your appointment.

Please be advised that any costs for the consultation and services rendered are the responsibility of the patient at the time of the visit.