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The Woman’s Health Pavilion
  • About Us
    • Providers
      • Andre Saad, MD, FACOG
      • Stephen E. Scarantino, MD, FACOG
      • Teresita Santiago, MD, FACOG
      • Lynda S. Piboon, MD, FACOG
      • Renee O’Toole, MD
      • Eronmwon E. Oronsaye, MD MS
      • Daphne Mercer, MD
      • Osasu Asemota, MD
      • Timothy Brown, MD, MS, FACOG (retired)
      • Frances Anderson, MD
      • Neha Egbert, MD
      • Nancy Macchiarella, DO
      • Jorge Luis Mejias Ramos, MD
      • Lahari Shetty, MD
      • Kathleen Tullo, WHNP-BC
      • Brittany Aksnes, MS, PA-C
      • Ashley Funes, MS, PA-C
      • Nicole Hakimi, MS, PA-C
      • Melanie Jackson, FNP-BC
      • Michelle Walsh, MS, PA-C
      • Courtney Haggerty, AGNP-C
      • Lauren Hoo, MS, PA-C
      • Jenna Smith, MS, PA-C
      • Rachel Levine, ANP
      • Keena Samuels, DNP, ANP
      • Rebecca Kaffash, PA-C
      • Laura Flanagan, MSN, WHNP-BC
      • Chinara Corey, FNP-C
      • Caitlyn O’Neil, MSN, WHNP-BC
      • Victoria Smith, WHNP-BC
      • Melin M. Pérez-Torres, MS, RN, CNM
      • Altagracia Navarro, RPA-C
      • Tiana Miller, MSN, WHNP, RN-BC
      • Kristen Smith, PA-C
      • Jamie Razumov – Obstetrical Coordinator
  • Services
    • Well-Woman Care
      • Annual Well-Woman Exam
      • Birth Control Options
    • Obstetrics
      • Quick Guide for Our Maternity Patients
        • Hospital Bag Checklist for Labor & Delivery
      • Prenatal Care
        • Childbirth Class
      • Prenatal Care FAQ
      • When Labor Begins
      • When Labor Begins FAQ
      • Once in Labor
      • Once in Labor FAQ
      • First Month After Delivery
      • First Month After Delivery FAQ
      • Postpartum Recovery
    • Gynecology
      • Choosing the Right Gynecologist
      • Choosing the Right Gynecologist FAQ
    • Minimally Invasive Gynecologic Surgery
  • Conditions
    • Abnormal Bleeding
      • Abnormal Bleeding FAQ
    • Abnormal Pap/HPV
    • Endometriosis
      • Endometriosis FAQ
    • Fertility Services
    • Fibroids
      • Fibroids FAQ
    • Heavy Periods
      • Heavy Periods FAQ
    • Incontinence
      • Incontinence FAQ
    • Menopausal Symptoms
      • Menopause FAQ
    • Ovarian Cysts
    • Painful Periods
      • Painful Periods FAQ
    • Pelvic Pain
    • Polyps
      • Polyps FAQ
    • Sexually Transmitted Infections (STIs)
    • Urinary Tract Infections
      • UTI FAQ
  • Treatments
    • Birth Control Options
      • Birth Control Pills
      • IUD (Intrauterine Device)
      • Permanent Birth Control
    • BOTOX® Cosmetic
    • Endometrial Ablation
    • Laparoscopic Hysterectomy
    • Minimally Invasive Myomectomy
    • Obturator Sling
    • Tubal Sterilization
  • New Patients
    • Why Choose Us
    • Billing & Insurance
    • Office Policies
    • New Patient Forms
  • Locations
    • Glendale/Queens, NY
    • Lynbrook/Long Island, NY
      • Driving Directions From East Rockaway, New York
      • Driving Directions From Hewlett, New York
      • Driving Directions From Lakeview, New York
      • Driving Directions From Malverne, New York
      • Driving Directions From Oceanside, New York
      • Driving Directions From Rockville Centre, New York
      • Driving Directions From Valley Stream, New York
    • Howard Beach/Queens, NY
      • Driving Directions From Arverne, New York
      • Driving Directions From Hamilton Beach, New York
      • Driving Directions From Ozone Park, New York
      • Driving Directions From South Ozone Park, New York
      • Driving Directions From Richmond Hill, New York
      • Driving Directions from The Rockaways, New York
      • Driving Directions From Woodhaven, New York
    • Westbury/Long Island, NY
      • Driving Directions From Hicksville, New York
      • Driving Directions From Jericho, New York
      • Driving Directions From Mineola, New York
      • Driving Directions From Old Westbury, New York
      • Driving Directions From Williston Park, New York
    • Forest Hills/Queens, NY
      • Driving Directions From Corona, New York
      • Driving Directions From Elmhurst, New York
      • Driving Directions From Glendale, New York
      • Driving Directions From Kew Gardens, New York
      • Driving Directions From Middle Village, New York
      • Driving Directions From Rego Park, New York
    • Levittown/Long Island, NY
      • Driving Directions From Bellmore, New York
      • Driving Directions From Bethpage, New York
      • Driving Directions From East Meadow, New York
      • Driving Directions From Farmingdale, New York
      • Driving Directions From Wantagh, New York
    • Massapequa/Long Island, NY
      • Driving Directions From Amityville, New York
      • Driving Directions From Copiague, New York
      • Driving Directions From South Farmingdale, New York
      • Driving Directions From Wantagh, New York
  • Contact Us
    • Billing & Insurance
    • Telehealth for OB-GYN Patients
    • Privacy Policy
    • Site Map
    • Thank You
  • Search

New Patient Forms

Please click the following links to download individual forms or click the button to download all the forms in a single PDF document.

  • Patient Registration Sheet
  • Instructions for Contacting You
  • Responsibility for Payment
  • Acknowledgement of Receipt of Privacy Practices
  • Pharmacy Information
  • Privacy Policy Statement

Quick Print All Forms

  • About Us
    • Providers
      • Andre Saad, MD, FACOG
      • Stephen E. Scarantino, MD, FACOG
      • Teresita Santiago, MD, FACOG
      • Lynda S. Piboon, MD, FACOG
      • Renee O’Toole, MD
      • Eronmwon E. Oronsaye, MD MS
      • Daphne Mercer, MD
      • Osasu Asemota, MD
      • Timothy Brown, MD, MS, FACOG (retired)
      • Frances Anderson, MD
      • Neha Egbert, MD
      • Nancy Macchiarella, DO
      • Jorge Luis Mejias Ramos, MD
      • Lahari Shetty, MD
      • Kathleen Tullo, WHNP-BC
      • Brittany Aksnes, MS, PA-C
      • Ashley Funes, MS, PA-C
      • Nicole Hakimi, MS, PA-C
      • Melanie Jackson, FNP-BC
      • Michelle Walsh, MS, PA-C
      • Courtney Haggerty, AGNP-C
      • Lauren Hoo, MS, PA-C
      • Jenna Smith, MS, PA-C
      • Rachel Levine, ANP
      • Keena Samuels, DNP, ANP
      • Rebecca Kaffash, PA-C
      • Laura Flanagan, MSN, WHNP-BC
      • Chinara Corey, FNP-C
      • Caitlyn O’Neil, MSN, WHNP-BC
      • Victoria Smith, WHNP-BC
      • Melin M. Pérez-Torres, MS, RN, CNM
      • Altagracia Navarro, RPA-C
      • Tiana Miller, MSN, WHNP, RN-BC
      • Kristen Smith, PA-C
      • Jamie Razumov – Obstetrical Coordinator
  • Services
    • Well-Woman Care
      • Annual Well-Woman Exam
      • Birth Control Options
    • Obstetrics
      • Quick Guide for Our Maternity Patients
        • Hospital Bag Checklist for Labor & Delivery
      • Prenatal Care
        • Childbirth Class
      • Prenatal Care FAQ
      • When Labor Begins
      • When Labor Begins FAQ
      • Once in Labor
      • Once in Labor FAQ
      • First Month After Delivery
      • First Month After Delivery FAQ
      • Postpartum Recovery
    • Gynecology
      • Choosing the Right Gynecologist
      • Choosing the Right Gynecologist FAQ
    • Minimally Invasive Gynecologic Surgery
  • Conditions
    • Abnormal Bleeding
      • Abnormal Bleeding FAQ
    • Abnormal Pap/HPV
    • Endometriosis
      • Endometriosis FAQ
    • Fertility Services
    • Fibroids
      • Fibroids FAQ
    • Heavy Periods
      • Heavy Periods FAQ
    • Incontinence
      • Incontinence FAQ
    • Menopausal Symptoms
      • Menopause FAQ
    • Ovarian Cysts
    • Painful Periods
      • Painful Periods FAQ
    • Pelvic Pain
    • Polyps
      • Polyps FAQ
    • Sexually Transmitted Infections (STIs)
    • Urinary Tract Infections
      • UTI FAQ
  • Treatments
    • Birth Control Options
      • Birth Control Pills
      • IUD (Intrauterine Device)
      • Permanent Birth Control
    • BOTOX® Cosmetic
    • Endometrial Ablation
    • Laparoscopic Hysterectomy
    • Minimally Invasive Myomectomy
    • Obturator Sling
    • Tubal Sterilization
  • New Patients
    • Why Choose Us
    • Billing & Insurance
    • Office Policies
    • New Patient Forms
  • Locations
    • Glendale/Queens, NY
    • Lynbrook/Long Island, NY
      • Driving Directions From East Rockaway, New York
      • Driving Directions From Hewlett, New York
      • Driving Directions From Lakeview, New York
      • Driving Directions From Malverne, New York
      • Driving Directions From Oceanside, New York
      • Driving Directions From Rockville Centre, New York
      • Driving Directions From Valley Stream, New York
    • Howard Beach/Queens, NY
      • Driving Directions From Arverne, New York
      • Driving Directions From Hamilton Beach, New York
      • Driving Directions From Ozone Park, New York
      • Driving Directions From South Ozone Park, New York
      • Driving Directions From Richmond Hill, New York
      • Driving Directions from The Rockaways, New York
      • Driving Directions From Woodhaven, New York
    • Westbury/Long Island, NY
      • Driving Directions From Hicksville, New York
      • Driving Directions From Jericho, New York
      • Driving Directions From Mineola, New York
      • Driving Directions From Old Westbury, New York
      • Driving Directions From Williston Park, New York
    • Forest Hills/Queens, NY
      • Driving Directions From Corona, New York
      • Driving Directions From Elmhurst, New York
      • Driving Directions From Glendale, New York
      • Driving Directions From Kew Gardens, New York
      • Driving Directions From Middle Village, New York
      • Driving Directions From Rego Park, New York
    • Levittown/Long Island, NY
      • Driving Directions From Bellmore, New York
      • Driving Directions From Bethpage, New York
      • Driving Directions From East Meadow, New York
      • Driving Directions From Farmingdale, New York
      • Driving Directions From Wantagh, New York
    • Massapequa/Long Island, NY
      • Driving Directions From Amityville, New York
      • Driving Directions From Copiague, New York
      • Driving Directions From South Farmingdale, New York
      • Driving Directions From Wantagh, New York
  • Contact Us
    • Billing & Insurance
    • Telehealth for OB-GYN Patients
    • Privacy Policy
    • Site Map
    • Thank You
Request an Appointment

Glendale

(718)577-4747


Lynbrook

(516)881-9560


Howard Beach

(718) 843-6300


Westbury

(516) 333-1444


Forest Hills

(718) 263-1963


Levittown

(516) 731-9000


Massapequa

(516) 799-4500

Woman's Health Pavilion Locations

Glendale

(718)577-4747(718)577-4747

73-09 Myrtle Avenue
Glendale, NY 11385
Fax: (718) 577-4744

The Woman's Health Care Center - Glendale

Lynbrook

(516)881-9560(516)881-9560

158 Hempstead Avenue
Lynbrook, NY 11563
Fax: (516) 881-9561

The Woman's Health Care Center - Lynbrook

Howard Beach

(718) 843-6300(718) 843-6300

82-12 151st Avenue
Howard Beach, NY 11414
Fax: (718) 843-6334

The Woman's Health Pavilion Howard Beach

Westbury

(516) 333-1444(516) 333-1444

372 Post Avenue
Westbury, NY 11590
Fax: (516) 333-2725

The Woman's Health Pavilion Westbury

Forest Hills

(718) 263-1963(718) 263-1963

109-33 71st Road, Suite 2G
Forest Hills, NY 11375
Fax: (718) 268-6616

The Woman's Health Pavilion Forest Hills

Levittown

(516) 731-9000(516) 731-9000

2950 Hempstead Turnpike
Levittown, NY 11756
Fax: (516) 731-9004

The Woman's Health Pavilion Letittown

Massapequa

(516) 799-4500(516) 799-4500

514 Ocean Avenue
Massapequa, NY 11758
Fax: (516) 799-4570

The Women's Health Care Center
  • Privacy Policy
  • Site Map
  • Contact Us

Copyright © 2023 The Woman's Health Pavilion. All rights reserved.

AAGL Center of Excellence in Minimally Invasive Gynecology Logo Best of Long Island Logo
Video Telehealth
  • About Us
    • Providers
      • Andre Saad, MD, FACOG
      • Stephen E. Scarantino, MD, FACOG
      • Teresita Santiago, MD, FACOG
      • Lynda S. Piboon, MD, FACOG
      • Renee O’Toole, MD
      • Eronmwon E. Oronsaye, MD MS
      • Daphne Mercer, MD
      • Osasu Asemota, MD
      • Timothy Brown, MD, MS, FACOG (retired)
      • Frances Anderson, MD
      • Neha Egbert, MD
      • Nancy Macchiarella, DO
      • Jorge Luis Mejias Ramos, MD
      • Lahari Shetty, MD
      • Kathleen Tullo, WHNP-BC
      • Brittany Aksnes, MS, PA-C
      • Ashley Funes, MS, PA-C
      • Nicole Hakimi, MS, PA-C
      • Melanie Jackson, FNP-BC
      • Michelle Walsh, MS, PA-C
      • Courtney Haggerty, AGNP-C
      • Lauren Hoo, MS, PA-C
      • Jenna Smith, MS, PA-C
      • Rachel Levine, ANP
      • Keena Samuels, DNP, ANP
      • Rebecca Kaffash, PA-C
      • Laura Flanagan, MSN, WHNP-BC
      • Chinara Corey, FNP-C
      • Caitlyn O’Neil, MSN, WHNP-BC
      • Victoria Smith, WHNP-BC
      • Melin M. Pérez-Torres, MS, RN, CNM
      • Altagracia Navarro, RPA-C
      • Tiana Miller, MSN, WHNP, RN-BC
      • Kristen Smith, PA-C
      • Jamie Razumov – Obstetrical Coordinator
      • Back
    • Back
  • Services
    • Well-Woman Care
      • Annual Well-Woman Exam
      • Birth Control Options
      • Back
    • Obstetrics
      • Quick Guide for Our Maternity Patients
        • Hospital Bag Checklist for Labor & Delivery
        • Back
      • Prenatal Care FAQ
      • When Labor Begins FAQ
      • Once in Labor FAQ
      • First Month After Delivery
      • First Month After Delivery FAQ
      • Postpartum Recovery
      • Back
    • Gynecology
      • Choosing the Right Gynecologist
      • Choosing the Right Gynecologist FAQ
      • Back
    • Minimally Invasive Gynecologic Surgery
    • Back
  • Conditions
    • Abnormal Bleeding
      • Abnormal Bleeding FAQ
      • Back
    • Abnormal Pap/HPV
    • Endometriosis
      • Endometriosis FAQ
      • Back
    • Fertility Services
    • Fibroids
      • Fibroids FAQ
      • Back
    • Heavy Periods
      • Heavy Periods FAQ
      • Back
    • Incontinence
      • Incontinence FAQ
      • Back
    • Menopausal Symptoms
      • Menopause FAQ
      • Back
    • Ovarian Cysts
    • Painful Periods
      • Painful Periods FAQ
      • Back
    • Pelvic Pain
    • Polyps
      • Polyps FAQ
      • Back
    • Sexually Transmitted Infections (STIs)
    • Urinary Tract Infections
      • UTI FAQ
      • Back
    • Back
  • Treatments
    • Birth Control Options
      • Birth Control Pills
      • IUD (Intrauterine Device)
      • Permanent Birth Control
      • Back
    • BOTOX® Cosmetic
    • Endometrial Ablation
    • Laparoscopic Hysterectomy
    • Minimally Invasive Myomectomy
    • Obturator Sling
    • Tubal Sterilization
    • Back
  • New Patients
    • Why Choose Us
    • Billing & Insurance
    • Office Policies
    • New Patient Forms
    • Back
  • Locations
    • Glendale/Queens, NY
    • Lynbrook/Long Island, NY
      • Driving Directions From East Rockaway, New York
      • Driving Directions From Hewlett, New York
      • Driving Directions From Lakeview, New York
      • Driving Directions From Malverne, New York
      • Driving Directions From Oceanside, New York
      • Driving Directions From Rockville Centre, New York
      • Driving Directions From Valley Stream, New York
      • Back
    • Howard Beach/Queens, NY
      • Driving Directions From Arverne, New York
      • Driving Directions From Hamilton Beach, New York
      • Driving Directions From Ozone Park, New York
      • Driving Directions From South Ozone Park, New York
      • Driving Directions From Richmond Hill, New York
      • Driving Directions from The Rockaways, New York
      • Driving Directions From Woodhaven, New York
      • Back
    • Westbury/Long Island, NY
      • Driving Directions From Hicksville, New York
      • Driving Directions From Jericho, New York
      • Driving Directions From Mineola, New York
      • Driving Directions From Old Westbury, New York
      • Driving Directions From Williston Park, New York
      • Back
    • Forest Hills/Queens, NY
      • Driving Directions From Corona, New York
      • Driving Directions From Elmhurst, New York
      • Driving Directions From Glendale, New York
      • Driving Directions From Kew Gardens, New York
      • Driving Directions From Middle Village, New York
      • Driving Directions From Rego Park, New York
      • Back
    • Levittown/Long Island, NY
      • Driving Directions From Bellmore, New York
      • Driving Directions From Bethpage, New York
      • Driving Directions From East Meadow, New York
      • Driving Directions From Farmingdale, New York
      • Driving Directions From Wantagh, New York
      • Back
    • Massapequa/Long Island, NY
      • Driving Directions From Amityville, New York
      • Driving Directions From Copiague, New York
      • Driving Directions From South Farmingdale, New York
      • Driving Directions From Wantagh, New York
      • Back
    • Back
  • Contact Us
    • Billing & Insurance
    • Telehealth for OB-GYN Patients
    • Back