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LI Women's Healthcare Group
  • Home
  • Services and Procedures
    • Gynecology
    • Obstetrics
    • Laser Hair Removal
    • O-Shot
    • Billing & Insurance Information
      • Fees & Payments
      • Insurance
      • Financial Policy
    • Patient Forms
  • About Us
    • Our Physicians
      • Gary Levine, MD, FACOG, FACS
      • Scott Nodelman, MD, FACOG
      • Jessica Ventimiglia, MD, FACOG
      • Paul Husserl, MD, FACOG, CLT
      • Sara Valentino-Smith, DO
    • Location and Hours
  • Patient Portal
  • Contact Us
Call: +(516) 741-4321
Call: +(516) 741-4321
LI Women's Healthcare Group
  • Home
  • Services and Procedures
    • Gynecology
    • Obstetrics
    • Laser Hair Removal
    • O-Shot
    • Billing & Insurance Information
      • Fees & Payments
      • Insurance
      • Financial Policy
    • Patient Forms
  • About Us
    • Our Physicians
      • Gary Levine, MD, FACOG, FACS
      • Scott Nodelman, MD, FACOG
      • Jessica Ventimiglia, MD, FACOG
      • Paul Husserl, MD, FACOG, CLT
      • Sara Valentino-Smith, DO
    • Location and Hours
  • Patient Portal
  • Contact Us

Patient Forms

If you are a new patient to our clinic, you may save time by completing the following forms prior to arriving for your appointment.
Patient Information Form
Financial Responsibility Form
Record Release Form
Notice of Privacy Practices

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