Home / Patient forms

Patient forms

Get your paperwork done before you come. Download the forms below, or call us if you need help.

Say hello

Questions, a new visit or a quick check on your plan? Send us a note or call. We will get back to you.

A mother and her toddler reading a picture book together

Visit us

63-95 Austin St.Rego Park, NY 11374
Get directions

Call us

718-268-9100

Fax 877-926-5112

For a medical emergency, call 911.

Office hours

  • SundayClosed
  • Monday11:00 am to 8:00 pm
  • Tuesday12:00 pm to 5:00 pm
  • Wednesday11:00 am to 8:00 pm
  • ThursdayClosed
  • Friday12:00 pm to 5:00 pm
  • Saturday9:00 am to 2:00 pm

Send us a message

Please do not share private health details here. For an emergency, call 911.

Families are welcome from across Queens and the nearby neighborhoods.

  • Rego Park
  • Forest Hills
  • Elmhurst
  • Middle Village
  • Kew Gardens
  • Corona
  • Jackson Heights
  • Flushing
  • and more