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Patient Portal

  • Through our Patient Portal, you can access your medical record, communicate with the practice, and book appointments online. If you have not yet registered for the portal, we will be happy to assist you if you call our main office at (718) 497- 1919
  • Patient Portal Training English

 

Patient Surveys

 

  • Queens 1 Office Patient Survey
  • Hauppauge Office Patient Survey

 

Encuestas de Pacientes

 

  • Encuesta de pacientes para la oficina de Queens 1
  • Encuesta de pacientes para la oficina de Hauppague

 

Practice Improvement Reports

  • Queens 1
  • Hauppauge

 

Forms

medical forms

  • Healthix Consent Form
  • Formulario de consentimiento de Healthix
  • Worker's Compensation Intake Form
  • Notice of Privacy Practices
  • New Patient Registration Form
  • Patient Authorization for Practice to Release Protected Health Information to Third Parties
  • Dr. Shimkus Workers Compensation Ortho Intake Form
  • Dr. Kamler Health Questionnaire
  • Occupational Health Visit Requisition
  • No Fault Intake Forms
  • Dr. Goodman Ortho Intake Form
  • Authorization for Release of Health Information Pursuant To HIPAA
  • Dr. Levin ENT Intake Form
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Locations

66-55 Fresh Pond Road
Ridgewood, NY 11385
P:
718-497-1919
F:
718-386-2152
68-23 Fresh Pond Road
Ridgewood, NY 11385
P:
718-497-2322
F:
718-386-2391
66-86 Fresh Pond Road
Ridgewood, NY 11385
P:
718-576-3607
F:
347-987-3565
74-01 Myrtle Avenue
Glendale, NY 11385
P:
718-821-5500
F:
718-456-0778
One Kings Highway
Hauppauge, NY 11788
P:
631-348-4900
F:
631-348-1042
251-15 Union Turnpike
Bellerose, NY 11426
P:
718-343-1616
F:
718-343-4272
1955 Merrick Road
Merrick, NY 11566
P:
516-223-1223
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  • Patient Portal
  • About Us
  • Our Providers
  • Services
  • Financial Options
  • Contact Us
  • Patient Resources
  • Blog