Let's save each other's time

Name: Dr. Dele-Michael
Address: 116 Central Park South, Suite 7, New York NY, 10019
Telephone: 212-229-0007

Your first visit involves a few crucial steps so that we can get to know you better. We request you to fill in these forms. We recommend you to save some time by filling in these editable forms so we can expedite your first visit.

Patient Forms

○ Patient Form

○ Medical Release Form

In order to view or print these forms you will need Adobe Acrobat Reader installed. Download Now