Phone and Telemedicine Visits
All fields are required
Type of Visit
New Patient Evaluation (Adult) 75 Min
New Patient Evaluation (Child <18 years old) 90 Min
Follow Up Therapy - 45 Min.
Follow Up Therapy - 60 Min.
Current Pt Quick Med.Check/Prescription PickUp - 15 Min
Telemedicine Video Call 60 min.
Telemedicine Video Call 45 Min.
Office
Phone and Telemedicine Visits
Reason for Visit
e.g. Initial Consultation
Patient name
Firstname Lastname
Date of birth
mm/dd/yyyy
Email
email@example.com
Home phone
(555) 555-5555
Cell phone
(555) 555-5555
Requested time
Select a time below under Available Times
Office Address:
115 E 57 st New York City NY 10022
115 E 57 st New York City NY 10022
New and Existing patients can make appointments online.
Office Phone:
(212) 579-2852
You must select a date and time for your appointment.
Available Times
Previous Week
Next Week
Visit Length:
45 minutes
Submit Appointment Request
You will receive an email confirmation.
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Action Required: Confirm your appointment