Forms

Formswimaadmin2023-09-26T15:45:14-04:00

New Patient Package
Please print the New Patient Package and bring the completed forms to your scheduled appointment.
JFK: GI Consent Form | May Street: GI Consent Form & Related Documents
Please print and complete the GI forms before your scheduled procedure.
Notice of Privacy Practices | Acknowledgement of Privacy Practices and designation of disclosure | More information about HIPAA
Immigration Examination and Vaccination Record Form I-693 | Instructions
Medical Records Request Please print and bring this form with you when being seen by a specialist outside of our practice. This will authorize your medical records to be forwarded to our office.

HOLIDAY HOURS 2024

Please make sure you have all of your prescriptions and have addressed immediate health issues before these office closures. Schedule your appointments early and confirm you are up to date with your vaccines.

November 27 … 8am-1pm (phones open until 2:30)

November 28 … CLOSED

December 24 … 8am-1pm (phones open until 1:30)

December 25 … CLOSED

December 31 … 8am-1pm (phones open until 1:30)

January 1, 2025 … CLOSED

Our physicians remain on call for urgent matters 24/7.

Wishing you and your loved ones a happy & healthy holiday season.

New Patient Package
Please print the New Patient Package and bring the completed forms to your scheduled appointment.

JFK: GI Consent Form | May Street: GI Consent Form & Related Documents
Please print and complete the GI forms before your scheduled procedure.

Notice of Privacy Practices | Acknowledgement of Privacy Practices and designation of disclosure | More information about HIPAA

Immigration Examination and Vaccination Record Form I-693 | Instructions

Medical Records Request Please print and bring this form with you when being seen by a specialist outside of our practice. This will authorize your medical records to be forwarded to our office.