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PLEASE NOTE THAT I AM NOT CURRENTLY ACCEPTING HEALTH INSURANCE.
 

Patient Paperwork

NOTE: treatment is determined by the prescriber's clinical judgment; there is no guarantee that you will be given any particular medication or certification and an appointment does not guarantee that you will be accepted as a patient. If I determine that I am not going to be a good fit as a provider alternatives for treatment will be offered.

For a medical records request, please download and fill out the form below.  Forms may be faxed to (914) 863-8583 or mailed to:

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Compass Psychiatry
420 South Riverside Ave, #283 
Croton-on-Hudson, NY 10520. 

 

Please be sure to include the address or fax number where you would like these sent.  The cost of medical records is $0.75 per page.  Records will be sent after payment is received. 
 

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