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Register as a New Patient

New Patient Routine:

In anticipation of your upcoming appointment and at the time of your first call to our office, you will be asked to complete several patient forms which can be mailed to you or printed directly from this web site. Visit our Patient Forms section for a comprehensive list of our printable forms. You should download, print, fill out, and bring the following forms to your first appointment:

Patient Registration Form

Patient Medical History Form

Financial Policy

Your prior medical records are a necessary component for your evaluation. The specific records we need will be explained at the time we schedule your consultation appointment. You can always call our Patient Services Department if you have questions; 631-666-6752, option #2.

If your insurance carrier requires a referral form, authorization number, or reference number, you need to make certain that you bring it with you to your appointment.

Three days before your appointment:

Call this office and verify that we have received your medical records and referral/authorization numbers/or reference numbers, which ever applies. We will not be able to proceed with the consultation without these.

Two days prior to your appointment:

We will call you to confirm the time of your consultation.

On the day of your appointment:

Bring our patient forms fully completed along with any paper referrals, authorization/reference numbers or forms given you by your referring physician. Your appointment will be delayed if the forms are not completed or forgotten.

Thank you for your assistance,

Hematology Oncology Associates of W. Suffolk, P.C.