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Please assist us by providing the following information at the time of your visit.
  - Any diagnostic studies, including films, reports and lab results that pertain to your office visit. This will greatly facilitate your encounter with the doctor. If you have had prior surgery a copy of the operative report.
 
  - If your insurance requires a referral please obtain one prior to your office visit.
 
  - Picture identification and your insurance card.
 
  - Specific questions that you may have for the doctor. 
 
 
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South Shore Orthopedics 
340 Montauk Highway 
West Islip, NY 11795 
Phone (631) 422-9530
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No Fault Information Sheet
  
 
Compensation Master Work Related Injury
  
 
HIPPA Privacy Notice
  
 
New Patient Information Form
  
 
Patient Health History
  
  
  
  
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