Please feel free to print the following two forms. Fill them and bring them with you to your appointment. This will save time and you will have less paperwork to fill when you get to the office.

For All Patients

• HIPPA
• Protected Health Information Release

Also, please print one of the following Medical History Forms corresponding to the doctor you are going to see. Fill the form and bring it with you to your appointment.

For Dr.Daitch and Dr.Zeidman

• Medical History Form

For Dr.Kletscher, Dr.Feng, Dr.Rahman and Dr.Presto

• Medical History Form

For Dr.Sadeghi

• Medical History Form