New Patient Paperwork

Dr. Lawrence J. Suchoff offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • New Patient Form

    Click to Download

  • HIPPA Form

    Click to Download

  • Medicare Forms

    Click to Download

  • Workers Compensation Paperwork

    Click to Download

  • Auto No Fault

    Click to Download

The following forms are for these insurance plans: United Health Care, Oxford, MPN (Empire):

  • Patient Summary Form

    Click to Download

  • Neck Index Form

    Click to Download

  • Back Index Form

    Click to Download

Dr. Lawrence J. Suchoff

8 Ilana Ln
New City, NY 10956

(845) 362-1515

Monday
7:00am - 8:00am
9:00am - 1:00pm
3:00pm - 5:00pm


Tuesday
9:00am - 1:00pm
3:00pm - 7:00pm


Wednesday
3:00pm - 5:00pm
7:00pm - 9:00pm


Thursday
9:00am - 1:00pm
3:00pm - 7:00pm


Friday
7:00am - 8:00am
9:00am - 1:00pm


Saturday
Closed


Sunday
9:00am - 12:00pm