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Call our office East Meadow 516.268.0070
Great Neck 516.595.0096
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?
    • How to Achieve a Healthy, Pain-free Life
  • Acupuncture & Complementary Medicine
    • Complementary Medicine
    • Acupuncture at Long Island Spine
    • Acupuncture as a Treatment for Low Back Pain
    • PEMF Therapy
    • Acupuncturists
      • Mei Wang, DAc, LAc, MPH.
      • Sharona Razinia, L.Ac.
      • Lijing (Esther) Piao, MS, LAc
  • Conditions & Treatments
    • Conditions & Treatments Overview
    • Spinal Conditions & Treatments
    • Musculoskeletal Conditions & Treatments
    • EMG Study
    • Musculoskeletal Ultrasound
    • PRP Therapy
    • Acupuncture at Long Island Spine
    • PEMF Therapy
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    • Great Neck
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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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Call Our Firm
East Meadow, NY
Call our office East Meadow 516.268.0070
Great Neck 516.595.0096
Great Neck, NY
Call our office 516.595.0096
Lawrence, NY
Call our office 516.595.0086
Huntington, NY
Call our office 631.449.7311
Lindenhurst, NY
Call our office 631.439.5202
East Meadow
801 Merrick Ave.
East Meadow, NY 11554


East Meadow 516.268.0070
Great Neck 516.595.0096

516.393.8870
Great Neck
560 Northern Blvd., Ste. 204
Great Neck, NY 11021


Call our office 516.595.0096
Lawrence
625 Rockaway Tpke.
Lawrence, NY 11559


Call our office 516.595.0086
Huntington
1160 East Jericho Tpke., Ste. 123
Huntington, NY 11743


Call our office 631.449.7311
Lindenhurst
150 E Sunrise Hwy.
Lindenhurst, NY 11757


Call our office 631.439.5202
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If you encounter any issues while using this site, please contact us: East Meadow 516.268.0070
Great Neck 516.595.0096
Return home Long Island Spine Rehabilitation Medicine, PC
Call our office East Meadow 516.268.0070
Great Neck 516.595.0096
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?
    • How to Achieve a Healthy, Pain-free Life
  • Acupuncture & Complementary Medicine
    • Complementary Medicine
    • Acupuncture at Long Island Spine
    • Acupuncture as a Treatment for Low Back Pain
    • PEMF Therapy
    • Acupuncturists
      • Mei Wang, DAc, LAc, MPH.
      • Sharona Razinia, L.Ac.
      • Lijing (Esther) Piao, MS, LAc
  • 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
    • View Testimonials
    • Review Us
  • Locations
    • Contact Us
    • Great Neck
    • East Meadow
    • Huntington
    • Lawrence
    • Lindenhurst
  • 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?
    • How to Achieve a Healthy, Pain-free Life
  • Acupuncture & Complementary Medicine
    • Complementary Medicine
    • Acupuncture at Long Island Spine
    • Acupuncture as a Treatment for Low Back Pain
    • PEMF Therapy
    • Acupuncturists
      • Mei Wang, DAc, LAc, MPH.
      • Sharona Razinia, L.Ac.
      • Lijing (Esther) Piao, MS, LAc
  • 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
    • View Testimonials
    • Review Us
  • Locations
    • Contact Us
    • Great Neck
    • East Meadow
    • Huntington
    • Lawrence
    • Lindenhurst
  • Blog