Forms & Payment
Accepts new patients
| Medicare | Medicaid | Workers' compensation | Other |
|---|---|---|---|
Medical insurance plans and payment options
aetna-US healthcare HMO, aetna-US healthcare PPO, Americhoice of NY, Anthem, BlueCross Senior, BC/BS HMO Empire, BC/POS Empire, BC/PPO Empire, BC/BS CHP, BC/BS Employee Health, Beech Street, CHN, Cigna HMO, Cigna PPO, Devon, First Health, Galaxy Health, GHI, HealthFirst CHP/FHP, HealthFirst Medicaid, Healthnet (PHS), HIP-HMO, Horizon, 1199, Magnacare/Magnahealth, MDNY, Multiplan, Oxford Freedom, Oxford Liberty, Oxford Medicare, PHCS, SelectPro, United Empire Plan, United Healthcare CHP, United Healthcare, Vytra, GHI Medicare, Empire Medicare.
If you don't see your insurance on this list, call the office to make sure your carrier was mistakenly missed. We also take out-of-network benefits.
Cash, Check, All Major Credit Cards
Office information from Scott E Marwin, MD
Acknowledgement of Receipt Notice of Privacy PracticesPrint, Fill in, and Bring to Office
Notice of Privacy Practices
Print and Read Completely! Fill in the acknowledgement form and bring to office.
Assignment of Benefits Form
Print, Fill out, and bring to office
Medical History Intake Sheet
Print, Fill in and Bring to office
Office Demographic Sign-In Sheet
Print, Fill Out, and Bring into Office
Pain Scale Form
Print, fill out, and bring to the office
Physician Address Form *Important*
Print, Fill in completely, and Bring to office
Contact Information
My Staff
Amanda Samsoondarrh - Senior Office Assistant
Jasmine Hernandez - Office Assistant
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