New Patient Forms

Please take a moment to read and complete the two-step process below. This allows us to spend more time discussing your complaint and answering your questions. Otherwise, please arrive 30 minutes prior to your appointment to complete the new patient information packet.

Step 1: Download the New Patient Information Packet (below)
Step 2: Please send your forms to or fax 212-682-6979 before your visit.

Andre Panagos, M.D.

820 Second Avenue, Suite 6D

New York, NY 10017

Tel. 212-682-6970

Fax. 212-682-6979

Hours: 9am to 5pm

by appointment only

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Copyright © 2010-2020 

by Andre Panagos MD

All Rights Reserved