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

Neuropsychology Paperwork

Adult Neuropsychology Intake Form

Child & Adolescent Neuropsychology Intake 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

How we helped our patients feel better.

Read Patient Reviews

Share Your Story

"I had a sports injury (torn biceps tendon), my physical therapist , Nicole Kerr along with the entire ...

Kenneth Mcginn

Procedure

Biceps Tear

Performed By

Brett A. Lenart, M.D.

Read Review
"I first came here a week prior to my surgery to regain full range of motion and within 4 days of working ...

Aidan Colagrande

Procedure

UCL Repair

Performed By

James Paci, M.D.

Read Review
"Due to a pickleball injury, I was highly recommended to come to the Woodbury office of Orlin & Cohen. ...

Andy Morales

Procedure

Partial tear of calf muscle

Performed By

Read Review

Hero Shape

Request an Appointment

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

LinkedIn
This field is for validation purposes and should be left unchanged.

Request an Appointment

First Name * Required
Last Name * Required
Email * Required
Phone * Required
Appointment Type
Pain Management Physicians * Required
Gait Assessment Physical Therapist * Required
Pain Management Locations * Required
Gait Assessment Locations * Required
Preferred Doctor
Preferred Physical or Occupational Therapist
Preferred Location * Required
Reason for Visit * Required

* Required Fields