Black Bird

Better Treatment, Expert Care

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info@ozveincenter.com

631 588 66 65

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PATIENT FORMS

If you are a new patient, please complete the "new registration" form below and bring it with you to your appointment to save time.

Download New Patient Form


If you were referred to us by a different physician, we also suggest that you complete the "records release" form below.

Download Record Release Form


Contact Info

Address: 122 Portion Road Ronkonkoma, New York, 11779

Telephones: +1 631 588-66-65

E-mail: info@ozveincenter.com

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