Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Online Patient Registration

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Health History Update Forms

You may find our health history update forms here.

• 6-Month Health History Update (PDF)
• 12-Month Health History Update (PDF)

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Call us at Huntington Office Phone Number 631-427-7373 (Huntington) and Centereach Office Phone Number 631-737-2626 (Centereach) with questions about completing your online registration.