Patient Forms & Insurance Plans

For the convenience of our new patients, we have provided a New Patient Form Packet and Diabetic Questionnaire (only if applicable) in pdf format. Please download, print and complete forms and bring them to your appointment. If you are unable to complete, please arrive 15 minutes prior to your appointment to allow extra time. On the day of your 1st appointment, please make sure you bring your insurance card(s) and referral forms.

New Patient Form Packet

Diabetic Questionnaire

HIPPA Notice of Privacy

We Accept the Following Insurance Plans:

  • Medicare
  • The Empire Plan/Excelsior Plan
  • Oxford Health Plan
  • United Health Care
  • 1199 Health Benefit Plan
  • Aetna
  • Beech Street
  • Blue Card Program
  • ChampVA
  • Cigna
  • ElderPlan
  • Empire HealthChoice
  • GEHA
  • GHI/Bridge Plan Network
  • Humana
  • MagnaCare
  • Meritain Health
  • Multiplan
  • Northwell Direct Tier 1 Network
  • Railroad Medicare
  • Tricare for Life
  • VSNY
  • UHC Optum IPA of NY
  • CIGNA True Choice Medicare, PPO only

Please don't hesitate to call our office at 516-676-1116 if you have any questions or need assistance completing these forms.

Contact Us Today

We look forward to hearing from you!


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Office Hour

Our Regular Schedule

Glen Cove Office


9:00 am-5:40 pm


9:00 am-7:20 pm


9:00 am-5:40 pm


9:00 am-5:40 pm


9:00 am-5:40 pm