Below please find the forms necessary to expedite your initial office visit. 

Prescription forms:

Nassau County

Suffolk County

 

Suffolk County Medicaid consent form

Nassau County Medicaid Consent form

New Client registration form 1

New Client Registration form 2

 

Clients coming for OT or PT can not begin without a prescription from their Dr. Please download all forms and fax to us at 631-421-4540 or bring with you on your first day of service.

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Call Us:631-421-3949 / Fax: 631-421-4540   / 214 Wall Street Suite 101, Huntington NY 11743