Thank you for submitting your form.

You should receive a copy of your completed form by email within a few minutes. Please be sure to send all relevant medical records to [email protected] so the doctor can review them prior to your appointment.

Within about 2 hours (or in the morning if it is after hours) you will receive a confirmation email and an itemized invoice. Check your spam folder if you do not receive these. Payment is due at or before time of service.

If you have any questions or need to make any changes, contact us at [email protected] or 917-694-2890.