Telemedicine Form
Once you have an appointment with your doctor please download and complete the TELEMEDICINE CONSENT FORM. When you have completed the form please submit the form using one of the following methods:
- Fax form to (718) 712-1217
- Email forms to [email protected]
- Take a picture of the form signature page and TEXT it to (516) 912-2703
| TELEMEDICINE CONSENT FORM |
