PATIENT CHECKLIST
Do you have these things?
- Picture ID such as Driver’s License
- X-rays, MRI CD, CT Scans, imaging and reports
- Past Operative, Treatment, and EMG Reports
- All Patient Forms**
Doctors: Alexandre B. De Moura, Angel E. Macagno, Michael Faloon, Nicholas Post, John Ventrudo, Timothy Roberts
NY Spine PA’s & DNP’s: Anthony Tisi, Fernando Veliz, Jung Sung Choi (Jenny), Blessen John, Alexa Forman, Carolyn Callender
English – General & New Patient Forms | Spanish – Formularios de Pacientes Nuevos |
Doctors: Rohan A. Desai and Michael Friar D.P.T.
English – Orthopedic New Patient Forms | Spanish – Formularios Ortopedicos Para Pacintes Nuevos |
NY Orthopedic Private Insurance | NY Orthopaedic Seguro Privado |
NY Orthopedic Workers Compensation (WC) | NY Orthopaedic compensación laboral (WC) |
NY Orthopedic No Fault (NF) | NY Orthopaedic Seguro Sin Culpa (NF) |
NY Orthopedic HIPPA | NY Orthopaedic HIPPA (Español) |
NY Orthopedic LIEN | NY Orthopaedic LIEN Español |