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Call our office 516.268.0070 New Patient intake form Patient Portal Make an Appointment
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  • Physicians
    • Jason S. Lipetz, MD
    • Jeffrey R. Beer, MD
    • Joseph K. Lee, MD
    • Miranda B. Smith, MD
    • Thomas P. Lione, DO
    • Office Managers
  • For Patients
    • Your Appointment
    • LISRM New Patient Intake Form
    • Spinal Procedure Guide
    • What is Physiatry?
    • Why see a physiatrist for low back pain?
  • Acupuncture & Complementary Medicine
    • Complementary Medicine
    • Acupuncture at Long Island Spine
    • Acupuncture as a Treatment for Low Back Pain
    • PEMF Therapy
    • Acupuncturists
      • Junsik Kim, Dipl.O.M., L.Ac.
      • Mei Wang, DAc, LAc, MPH.
      • Jaesung Kim, M.S, L.Ac.
      • Sharona Razinia, L.Ac.
  • Conditions & Treatments
    • Conditions & Treatments Overview
    • Spinal Conditions & Treatments
    • Musculoskeletal Conditions & Treatments
    • EMG Study
    • Musculoskeletal Ultrasound
    • PRP Therapy
    • Acupuncture at Long Island Spine
    • PEMF Therapy
  • Testimonials
    • Review Us
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LISRM New Patient Intake Form

Return home For Patients LISRM New Patient Intake Form

Prior to your appointment, we ask that you fill out our LISRM Patient Form. You may download and fill out the LISRM Patient Form via PDF, or click the below to reach our digital form.

LISRM Patient PDF Form
LISRM Patient Digital Form

Click here to learn more about your appointment.

Related Content

  • Insurance Information
  • Spinal Procedure Guide
  • What is Physiatry?
  • Why see a physiatrist for low back pain?
  • Your Appointment

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Return home Long Island Spine Rehabilitation Medicine, PC
Call our office 516.268.0070 New Patient intake form Patient Portal Make an Appointment
  • Home
  • Physicians
    • Jason S. Lipetz, MD
    • Jeffrey R. Beer, MD
    • Joseph K. Lee, MD
    • Miranda B. Smith, MD
    • Thomas P. Lione, DO
    • Office Managers
  • For Patients
    • Your Appointment
    • LISRM New Patient Intake Form
    • Spinal Procedure Guide
    • What is Physiatry?
    • Why see a physiatrist for low back pain?
  • Acupuncture & Complementary Medicine
    • Complementary Medicine
    • Acupuncture at Long Island Spine
    • Acupuncture as a Treatment for Low Back Pain
    • PEMF Therapy
    • Acupuncturists
      • Junsik Kim, Dipl.O.M., L.Ac.
      • Mei Wang, DAc, LAc, MPH.
      • Jaesung Kim, M.S, L.Ac.
      • Sharona Razinia, L.Ac.
  • Conditions & Treatments
    • Conditions & Treatments Overview
    • Spinal Conditions & Treatments
    • Musculoskeletal Conditions & Treatments
    • EMG Study
    • Musculoskeletal Ultrasound
    • PRP Therapy
    • Acupuncture at Long Island Spine
    • PEMF Therapy
  • Testimonials
    • Review Us
  • Locations
  • Blog
×
  • Home
  • Physicians
    • Jason S. Lipetz, MD
    • Jeffrey R. Beer, MD
    • Joseph K. Lee, MD
    • Miranda B. Smith, MD
    • Thomas P. Lione, DO
    • Office Managers
  • For Patients
    • Your Appointment
    • LISRM New Patient Intake Form
    • Spinal Procedure Guide
    • What is Physiatry?
    • Why see a physiatrist for low back pain?
  • Acupuncture & Complementary Medicine
    • Complementary Medicine
    • Acupuncture at Long Island Spine
    • Acupuncture as a Treatment for Low Back Pain
    • PEMF Therapy
    • Acupuncturists
      • Junsik Kim, Dipl.O.M., L.Ac.
      • Mei Wang, DAc, LAc, MPH.
      • Jaesung Kim, M.S, L.Ac.
      • Sharona Razinia, L.Ac.
  • Conditions & Treatments
    • Conditions & Treatments Overview
    • Spinal Conditions & Treatments
    • Musculoskeletal Conditions & Treatments
    • EMG Study
    • Musculoskeletal Ultrasound
    • PRP Therapy
    • Acupuncture at Long Island Spine
    • PEMF Therapy
  • Testimonials
    • Review Us
  • Locations
  • Blog