Home » Digestive Disease Care Patient Forms

New Patient Forms

New Patient Forms at Digestive Disease Care Serving New York Community

Expedite your visit to Digestive Disease Care by having your forms ready. Submit your new online patient registration form before you arrive. for more information. Contact us or schedule an appointment online! Multiple locations to serve you.

Registration Form

HIPAA Notice of Privacy Practices

Authorization for Release of Health Information Pursuant to HIPAA

COVID Screening Form

Babylon, NY

373 W Main St, Babylon, NY 11702
View Details

East Setauket, NY

235 N Belle Mead Rd, Setauket- East Setauket, NY 11733
View Details

Forest Hills NY

104-40 Queens Blvd Suite #1F, Forest Hills, NY 11375
View Details

Jamaica, NY

110-14 Jamaica Ave, Queens, NY 11418
View Details

Jericho, NY

366 N Broadway Suite LW-2, Jericho, NY 11753
View Details

Lake Success, NY

1991 Marcus Ave Suite M200, Lake Success, NY 11042
View Details

Melville, NY

150 Broadhollow Rd, Melville, NY 11747
View Details

Mineola, NY

137 Willis Ave Suite 110, Mineola, NY 11501
View Details

New Hyde Park, NY

1575 Hillside Ave, New Hyde Park, NY 11040
View Details

Massapequa, NY

1061 N Broadway, Massapequa, NY 11758
View Details

Directions to Nearest
Location

*In case of a life threatening emergency, immediately call 911.
**For any medical procedure, patients respond to treatment differently, hence each patient’s results may vary.
***Information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content contained on or available through this site is for general information purposes only.
****By using this website and sending us your information, you are giving us permission to contact you by electronic and non-electronic means. We also track the conversions and collect user data to improve marketing.
*****If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact us.

Send Text

How May I Help You?