Anna Lerner Angeles M.D. PC


Please print out the EXISTING PATIENT FORMS in full. To expedite your waiting time in the office, you may fax your completed forms to us at 631-670-6704.  However, if you prefer, you may bring the completed forms in with you to your appointment. IF you are unable to print out the necessary documents, please feel free to call our office so we may fax or mail them out to you.



Please bring the following when you come for your visit:


*All forms you have completed at home. If you are unable to complete the forms, please arrive 15 minutes prior to your scheduled appointment so that we may assist you.


*You must bring your up to date health insurance card(s) with you and photo ID.


*All fees and co-payments are due at the time of service. Please refer to your insurance plan on what charges are covered. Any charges that are not covered are the patient's responsibility and are payable at the time of service. Payments are acceptable in cash or by check or credit card. We do not currently accept American Express, Diners club or Pay Pal.

In the ever changing insurance environment, before your appointment, please check with your insurance carrier to confirm that Dr. Anna Lerner Angeles is still an active provider on your plan.