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Medical Forms

Our Downloadable Patient and Laboratory Forms

Save Time in Our Office by Completing These Forms at Home!

The following forms can be downloaded to your computer and printed at home.  If you have any questions when filling out these forms, please do the best you can, our staff will assist you with your questions on the day of your visit.

Both the patient forms and the laboratory forms can be downloaded to your computer then viewed and printed as an Adobe Acrobat® file.  Acrobat encapsulates all of the fonts and formatting functions that were used when creating a document, enabling it to be sent quickly over the Internet as a Portable Document File (PDF).  Once the PDF file has been received on your computer you can use the Acrobat Reader program to view and print the forms on your printer.

If you already have a copy of Adobe Acrobat Reader, then you may download a form immediately by clicking on the name of the form.  The PDF file sizes are relatively small and will take only a few minutes to download, depending upon your modem and connection speed.  When the file transfer is complete just click on the filename to launch Acrobat Reader and open the form.

If you do not have a copy of Acrobat Reader you can get one for free by clicking on the icon, or  'Get Acrobat® Reader'.  This will take you to Adobe's website and enable you to download the Acrobat program to your computer.

 

       

Drucker, Genuth & Augenstein, 
MDs, P.C.

19 Morris Avenue
Rockville Centre, NY 11570

Tel: (516) 766-1700
Fax: (516) 763-2734

E-Mail Us

South Shore OPEN MRI
371 Merrick Road
Rockville Centre, NY 11570

Tel: (516) 766-2600
Fax: (516) 766-0386


E-Mail Us

Cross Bay OPEN Imaging, 
MDs, P.C.

156-36A Cross Bay Blvd.
Howard Beach, NY 11414

Tel: (718) 738-0700
Fax: (718) 738-4177

E-Mail Us


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Dr. Harold Augenstein, M.D., Dr. Jeffrey Drucker, M.D., Dr. Solomon Genuth, M.D., Dr. David Kasow, M.D., Dr. David Rusch, M.D., and Dr. Suzanne Segal, M.D., serving Long Island and the surrounding area.

Copyright © 2001- 2004 Drucker, Genuth & Augenstein, MDs, P.C., and MedNet Technologies, Inc. 
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