Patient Forms       Feel free to download, print, and fill out the following forms prior to your child's visit. Just bring them in at the time of your appointment and see the doctor even faster!       You will need the Adobe Acrobat Reader to view and print the forms. If you do not already have it you can download it for free here:       Patient Registration Form   Please complete one form per child       Patient Insurance Information Sheet Please complete one form per child     Patient History Form   Please complete one form per child       Authorization for Medical Treatment   Please complete one form per child       Notice of Privacy   For review purposes only - You do not need to bring this form with you       Notice of Privacy- Sign Off    Please print and sign this document verifying you have read our Notice of Privacy form. Please complete and sign one form per child.     Record Release Authorization Form   Please complete one form per child     Financial Policy    Please print and sign this document verifying you have read our Financial Policy form. Please complete and sign one form per child.     Credit Card Authorization Form   Please print, complete and fax this document to our Billing Department, 718.698.3730 or you can mail to our Billing Department, 1779 Richmond Avenue, Staten Island, NY 10314     Nutrition Form   Please complete one form per child prior to your visit with the Nutritionist