Forms


 

You may wish to fill out New Patient Forms prior to your visit. If you choose not to fill out forms online, please arrive at least 15 mins prior to your appointment time to complete the paperwork. 

When handing in the forms to the front desk please provide the following: 

  • VALID PICTURE ID CARD / LICENSE and
  • CURRENT VALID INSURANCE card with the PCP (Primary Care Physician) updated on the card. 

Please notify our front desk assistant if your PCP was changed, but you haven’t received an updated insurance card yet, and we will gladly verify your PCP assignment on your insurance company’s website. 

Once we have received your information we will scan and upload your documents into our Electronic Medical Records system. Filling out our forms prior to your visit helps decrease your wait time in the waiting room.

 

 

 

What we offer

services

Location
Primary Medical Associates of Long Island, PLLC
54 Sunnyside Boulevard, Suite E
Plainview, NY 11803
Phone: 516-506-7776
Fax: 516-719-0708
Office Hours

Get in touch

516-506-7776