Guy Farber MD



New Patients

Thank you for your interest in coming to see me. I look forward to meeting you, and working with you to help you.

If you would like to make an appointment to see Dr. Farber, please send the following information to Dr. Farber either by sending a text message to (516) 567-4210, or by fax to (516) 714-5096 or by leaving a message on the office voice mail: (516) 714-5098:

1. Your first name and last name, date of birth, home address, martial status, insurance, insurance ID, and group ID

2. Your copay for behavioral health and yearly deductible (not needed if you have medicare). To get that information please call your insurance company and ask them. Please note that if your insurance plan has a deductible, then you are responsible to pay for insurance part of the payment until your deductible is met

Once you setup an appointment with Dr. Farber please print and complete this registration form and bring it with you to your appointment with Dr. Farber. If you can not print and complete this form ahead of time, please come 20 minutes prior to your appointment time to complete the form in the office. If you don't come 20 minutes earlier, by the time you complete the form, Dr. Farber may not have enough time to see you, and you may need to reschedule.

Please drop off (or fax) this form to your primary care doctor, so that your primary care doctor would send your medical history and labs to Dr. Farber

You can find Dr. Farber's notice of privacy practices here: NoticeOfPrivacyPractices.pdf