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Pre-screening forms:

We are excited to see you for your scheduled appointment. We are located 525 West End Ave, on the corner of 85th Street, New York, NY, Suite#1G. 


The forms below have to be completed no later than 2 business days prior your appointment. Otherwise, your appointment may need to be rescheduled. 


If this is the first time submitting the forms, please make sure to complete both forms. Otherwise, complete only the Covid-19 questionnaire form.

On the day of your appointment we will ask that you answer the same questionnaire to ensure if there has been any changes in your answers since the previous questionnaire was filled out. 


We apologize for any inconvenience and understand that this can seem repetitive but we value not only your time but our doctor’s as well and would like to avoid having to reschedule your appointment once you are in the office. We appreciate your understanding in these times and hope you can see our efforts to ensure the safety of all our patients and staff. 


If you have any questions, please do not hesitate to contact us at  (212) 472 7849. We look forward to seeing you.

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