NEW PATIENT FORMS

Resource Section for Our Patients


At INTEGRATIVE MEDICINE OF NEW YORK, we're dedicated to assisting our patients in every manner we can. We give the most up-to-date support, free information, and instructional tools for anyone seeking extra assistance from our facility or outside agencies through this resource section. Contact us at health@imofny.com if you have any questions or require additional assistance with the items on this page.

New Patient Forms


For your convenience, please print and fill out all applicable forms and present them to the front desk when you arrive for your first office visit.

  • Arbitration Agreement
  • Cancer History Questionnaire
  • Intake Packet 1
  • Financial Responsibility Form (Intake Packet)
  • Private Contract

If you have further questions about your visit, call (516) 759-4200.

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