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Before Your Visit

Patient Forms

For your visit, please bring your ID,  insurance card and list of current medications including over-the-counter and herbal supplements. Copay and deductables are due at the time of service. If you have to reschedule or change your appointment, please notify us at least 24hr prior to your scheduled appointment.  If your insurance needs referal, please make sure you obtain it prior to the visit.

For your convenience we have included the following downloadable form in PDF format, which you can print out and complete prior to your first office visit. This will save you time at the check-in desk when you arrive for your appointment. If you are an existing patient but have not been to the office for more than one year, please complete a new form as well.


Plainview Office Registration

Download Demographic_&_Medication_Form[1].pdf

Flushing Office Registration

Download Registration Form 0312.pdf

法拉盛診所登記表

Download 登記表0911.pdf