Call 1-888-378-2976
153 East 87th Street, cnr Lexington Ave.

Patient Forms

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Vaysman and our caring staff.

We encourage questions and do our best to always deliver quality care. Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner.

Thank you for your confidence in our office, we look forward to assisting you with all your orthodntic needs.

Patient Forms: Adult History Form.pdf , Child History Form.pdf

HIPAA Privacy Act: Privacy Act.pdf

book-orange