• Mon-Thu 8.00AM to 8.00PM, Fri 9.00am to 5.00pm
  • 718-520-8585

Patient Forms

Patient Forms

Our highly trained pediatricians, practitioners, and staff, work hard to provide the best care possiblefor our families. We are the most comprehensive pediatric practice in the Forest Hills from pediatricians that have been offering pediatric care with a cobined experience of over 100 years. 

 We treat all our patients as if they were our own and recognize the importance of making your transition a positive one. In order to make your switch into our practice as easy and medically complete as possible, we offer the following guide below that outlines the new patient registration process. 

In addition, please familiarize yourself with our innovative practice:

Click here for “Patient Forms".

You will need to download and fill in the following forms; Family Registration, Medical History (one for each child), Notice of Privacy Practices, Financial Policies, and Financial Policy Signature Form.
We need the following from your child’s medical records:
Records from the past three well-visits (your child’s last three physicals)
Up-To-Date Immunization Records
If your child has any special medical, behavioral, or social issues please send along pertinent documentation identifying the diagnosis
Your child’s chart summary pages