Patient Forms

Preparing for Your Visit to Brookhaven Cardiac

On your first visit to Brookhaven Cardiac in Patchogue, we ask that you arrive 15 minutes earlier than your scheduled appointment to get checked in and complete registration and patient history forms.

For your convenience, these forms are also available below:

• New Patient Registration Form & Privacy Practices Acknowledgment
• Nuclear Stress Test

If you’d like, you may print and fill out your registration form, office visit questionnaire, and notice of patient privacy prior to arriving.

If you have any questions prior to your appointment, please call us at (631) 364-0085.