Existing Patient Forms | Long Island Spine Specialists, P.C.

Existing Patient - Contact Form

Thank you very much for contacting Long Island Spine Specialists.
If you are experiencing a medical emergency, please dial 911 or go to the nearest emergency room.
To schedule a follow‐up appointment – this form is for existing patients only ‐ please fill out the form below.
For all other inquiries, please call us during business hours. Monday through Thursday from 8:30am to 5pm and Fridays from 8:30am to 4:30pm.
Please note: We are participating in-network with United Healthcare & Oxford Health Plans, Blue Cross Blue Shield, and New York State Health Insurance Plan (NYSHIP) insurance plans. As of 10/1/2019 we will no longer accept HIP, GHI, or Healthcare Partners HCP. Any patients having these insurance plans need to touch base with their insurance carriers to obtain information about alternative providers. We apologize for the inconvenience.

First Name This field is required.

Last Name This field is required.

Email This field is required.

Phone This field is required.

Date of Birth This field is required.

Preferred Physician This field is required.

Reason for Your Inquiry

Join Our Mailing List This field is required.

This field is required.

Submit

By submitting this form, you agree to our Terms of Use. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Practice Policy Update Regarding COVID-19

Dear Patients:

Our patients, employees and family are our top priority at Long Island Spine Specialists, P.C.

We ask you to not visit any of our locations if you have symptoms such as fever, sneezing, coughing and possible shortness of breath.

Please cancel your appointment and re-schedule once you are feeling better and are no longer suffering with symptoms.

Only non-symptomatic patients will be seen. No exceptions.

Accompanying family members – including children – are asked to remain in the waiting area and will not be allowed to enter the exam rooms.

During this time of high concern regarding the spread of COVID-19 (Coronavirus) we are taking extra precautions to maintain the highest possible standards of safety and cleanliness. Please be advised that we are carefully following recommendations from both the CDC and WHO and are here to help guide you through this time if needed.

Some steps we are taking to keeping safe:

We know how important cleanliness is and always maintain the highest standards of cleanliness. To further offer you peace of mind, we have increased the frequency of the cleaning of our office.

Rest assured that hand washing is strictly followed. Hand sanitizer is available to all staff and patients.

Additionally, if you have recently traveled to a country with high rates of the coronavirus or have been on a cruise, please reschedule your visit for at least 14 days from your return date. We will gladly accommodate your needs to reschedule. At that time, a telehealth interface can be arranged if necessary.

Find up-to-date and accurate information on the Centers for Disease Control and Prevention (CDC) website and feel free to reach out with questions.

- Your team at Long Island Spine Specialists, P.C.

Schedule a Consultation

To learn more about Long Island Spine Specialists – and to discover how we can relieve your pain and help you find an improved quality of life – please contact our office today and schedule a consultation.

Existing Patient Form

Existing Patient - Contact Form

Practice Policy Update Regarding COVID-19

Schedule a Consultation

Contact Us