Child & Adolescent Registration

New patients, please print and complete the appropriate form below, and either bring or fax it. Bring your insurance card, and if applicable, your co-payment in cash or check, to your first appointment. Take the time review our fee and cancellation policy below as well. Thank you! Our fax number is 516-785-6026.


Child and Adolescent Registration

LET'S GET IN TOUCH!

If you would like us to give you a call, please complete this form and we will get back to you as soon as possible!

Our Office Locations

No Hours settings found. Please configure it