For Our Patients

Please call or use the email form to contact us and make an appointment. 

PATIENT FORMS

To save time on the day of your appointment, please fill out these forms and bring them with you:

Printable Forms:

Dr. Alvarez Patient Forms

Screening Form

Online Forms:

Patient Information Form
Patient History Form
NYULMC HIE Consent Form
Credit Card Authorization Form
No Show Cancellation Policy Form
HIPAA Consent Form
Insurance Acceptance Agreement Form