At NYC Pupil, we value your time. In an effort to save you time in our office, please complete our patient form(s) prior to your appointment.
What Forms Do I Fill out?
We try our best to save paper and time. Please support us in this endeavor and complete all necessary forms/tabs online.
After you have scheduled an appointment, please click on the "NEW & RETURNING PATIENT FORMS" link and follow the directions for all NEW patients.
If you are a RETURNING patient to NYC Pupil, we will provide you with a pass-code to update your existing information.
Please complete the following steps:
1. DEMOGRAPHICS (FIRST TAB) - REQUIRED
2. PATIENT HISTORY & REASON FOR VISIT (Fill out only those tabs that are appropriate for you or your child) - REQUIRED
3. POLICIES, CONSENT and SUBMIT (LAST TAB) - REQUIRED
You will need AdobeReader® to download and complete the forms. Click here to download.
Download the required form(s). Print out the form(s) and complete the required information.