You may download your patient registration forms below or we will be happy to send your patient information packet via:

E-mail, FAX, or postal service.

Please call us at 1 (212) 247-1960 or E-mail us at: to let us know how you would prefer we send your packet.

Download Patient Forms Here:

Patient Information Form

Consent for Services Form

Patient Consent Form

Patient Contract

You need Adobe Acrobat Reader to use these forms if you do not have it please click on the image below to download it.

All treatment is scheduled by appointment only.

Please call 1 (212) 247-1960test to schedule an appointment. Dr. Young offers complimentary consultations.