Patient Forms

Consent Forms & Financial Policy/Cancellation Form:

If you have Medicare as your primary insurance click this button, print and fill out this paperwork:

All other insurances, print, fill out this paperwork:

New Employee Paperwork

If you are a new employee, print and fill out all of the following paperwork. Also bring with you a photocopy of either the photo page of your US Passport or a photocopy of your Drivers License and Social Security Card.

LiteCure Laser Consent Form

If you are interested in Laser Therapy, print, read carefully and sign this paperwork:

Insurance

ACCEPTED IN NETWORK

Medicare  -  Medicaid  -  BCBS  -  Cigna  -  UHC  -  1199  

 No Fault  -  Workers' Comp(Except MagnaComp)  -  All Local Union Plans

 

ACCEPTED OUT OF NETWORK

Aetna  -  Empire Plan(MPN)  -  GHI(Emblem Health)  -  MagnaCare  -  Oxford 

 

WE DO NOT TAKE

ElderPlan  -  EverCare  -  FIDELIS  -  HealthPlus  -  HealthFirst  -  MetroPlus  -  HIP/HCP

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Call Us Today!

Orthopedics, Pre and Post Surgical, Back and Neck Pain, Sports Injuries, Gait and Balance Programs, Worker's Compensation Injuries, Motor Vehicle Accident Injuries

OCEANSIDE LOCATION

2965 Long Beach Road 2nd Floor

Oceanside, NY 11572

T: 516-766-1408

F: 516-766-1651

oceanside@sandspointpt.com

DIRECTIONS

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ROCKAWAY PARK LOCATION

2-30 Beach 102 Street    Suite 3A

Rockaway Park, NY 11694

T: 718- 945-9575

F: 718-945-5671

rockaway@sandspointpt.com

DIRECTIONS

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