Contact requests
The contact form collects the name, phone number, optional email, request category, and optional message you provide so your request can be reviewed and followed up. Access to submitted requests is restricted to authorized administrators.
Use the form for scheduling and general office questions. Do not include symptoms, diagnoses, dates of birth, insurance details, medical records, or other private medical information. Call 754-300-0817 to ask how to share medical information securely.
Website services and external links
Hosting services may process technical information needed to deliver and protect the website. Links to outside websites take you to services with their own privacy practices. The site guides provide navigation and general information; they do not provide medical care.
Questions about privacy
Call the practice to ask about a contact request or to obtain the practice’s Notice of Privacy Practices for medical care. This page describes website contact use and does not replace that notice.