Online Forms

Family Health Associates offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required 

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form



Download the Free AdobeReader®

 

Office Hours

Our Regular Schedule

Brooklyn Location/ Call: 718-236-6177

Monday:

11:00 am-7:00 pm

Tuesday:

Closed

Wednesday:

11:00 am-7:00 pm

Thursday:

Closed

Friday:

11:00 am-7:00 pm

Saturday:

Closed

Sunday:

Closed

Staten Island Location/ Call: 718-987-2034

Monday:

Closed

Tuesday:

11:00 am-7:00 pm

Wednesday:

Closed

Thursday:

1:00 pm-7:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Locations

Find us on the map