THANK YOU FOR ENTRUSTING YOUR CARE TO US

This page will provide you with all the necessary forms, as well as important information regarding your first visit. Please be sure to read and complete all applicable documents.

In order to expedite your first visit, we request that you arrive 15 minutes prior to your appointment on your initial visit so all necessary paperwork can be processed and you are kept on schedule. If you are unable to keep your appointment, kindly notify us at (631) 462-BACK (2225), press 4, or email appointments@lispine.com so we may accommodate another patient.

If you have any questions, do not hesitate to contact the office. We look forward to seeing you.

Sincerely,

Long Island Spine Specialists, P.C.

FIRST VISIT: FOR NEW PATIENTS

Please bring the following when you come for your first visit:

Payments are acceptable in cash or by check or credit card.
New Patients, Long Island Spine Specialists

NOTICE OF PRIVACY PRACTICES

Download the LISS Notice of Privacy Practices

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Section 1557 of the ACA (Affordable Care Act) This notice describes the privacy practices of Long Island Spine Specialists, PC and how Long Island Spine Specialists may use and disclose your protected health information (PHI). Long Island Spine Specialists, P.C. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

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