107 Northern Blvd

Suite 206

Great Neck , NY

11021

516-829-2016
 
 
 

 

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Practice Information

 

Health Topic A to Z
Allergies

Alzheimer's
Arthritis
Asthma
Cancer Prevention
Cholesterol
CRP
Diabetes
GERD / Heartburn
Hypertension
Vaccinations
   More.....

Medical Forms

  

 

The forms below are all in PDF format and require Adobe Acrobat Reader. This program should launch automatically when you click on the desired form.  If you are not able to view the forms when you click on them you may not have Adobe acrobat Reader on your computer. If so you will need to download this free program via the link below.

1) Health Care Proxy  Health care proxy document for NY state residents
 

2) Living Will  

a) Living Will document

b) Directions for filling out Living Will
3) Record Request - Use this form to request copies of your records from our office. There may be a copy and shipping fee involved. Please call the office before submitting your request.