Patient Forms | Orlin & Cohen Orthopedic Group | LI Orthopedics

New Patient Form

New Patient Packet

Orthopedic Medical Records

Form E – Medical Records Release Form

Form F – Addendum Request Form

MRI Forms

MRI Safety Screening Form

Physical and Occupational Therapy Forms

PT & OT Patient Intake Form

Northwell Notice of Privacy Practices

Consent for Minors to be Treated Without Parent Present

Our offices across Long Island are open for in-person visits with new protocols for immediate, personalized care in the safest possible environment.

How we helped our patients feel better.

Read Patient Reviews

Share Your Story

"I believe the true test of a feeling of trust and admiration for a doctor and a practice is when asked ...

Donna Dempsey

Bohemia

Procedure

Rostrum-Gould (Ankle Instability Surgery)

Performed By

John Feder, M.D.

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" ...

Cynthia Flandorffer

Procedure

Cortisone shots

Performed By

Robert J. Lippe, M.D.

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"I sustained knee injuries while working on the job in two separate incidents and needed surgery on my ...

Allan Sinclair

Procedure

Knee Surgery, Physical Therapy

Performed By

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To schedule a new in-office or telehealth appointment, please fill out the form below. We will respond as quickly as possible.

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