23-25 Bell Blvd, Bayside, NY 11360. Phone: (718) 225-6464 FAX: (718) 225-9316
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HOURS
Mon - Thurs
8:30AM - 6PM
Fri
9AM - 5PM
By Appointment Only
Sat
Call From 8AM
Sun
Call From 8:30AM
Sick Emergencies Only
STAFF
Bayside Pediatric Specialists - Patient Forms
For your convenience and to make the registration process as easy as possible, we have made the following forms and information available online. Your registration in the doctor's office will take less time if you complete each of these forms before arrival and bring them with you.
New Patient
If this is your first time visiting our office, please complete all 4 forms
1 - Intake Form 1
2 - Intake Form 2
3 - Advanced Beneficiary Notice (ABN)
4 - Privacy Form
Please complete this form to request medical records from your old doctor
Current Patient
Please fill out for updates to demographics or change of insurance
Record Request Form
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