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    Tel: 212-371-2996

    PATIENT FORMS

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    Please review and complete the appropriate forms prior to your visit. Thank you.

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    • Notice of New Patient Privacy Information

    • New Patient Intake Form

    • Medical History Form

    • Payment Authorization Form

    • Patient Rights: Estimate of Cost of Services

    • Upper Extremity Functional Index

    OUR OFFICE

    300 East 57th Street

    New York, NY 10022

    Email: info@handtherapy57.com

    Tel:  212-371-2996

    Fax: 212-980-1699

    OFFICE HOURS:

    Monday: 8am - 6pm

    Tuesday: 8am - 7:30pm

    Wednesday: 8am - 6pm

    Thursday: 8am - 7:30pm

    Friday: 8am - 5pm

    ​​Sat - Sun: Closed

    CONTACT

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