Thank you for selecting Alan J. Dayan, MD in Brooklyn, New York for your orthopedic care. To schedule an appointment, please call us at (718) 232-6348 or use our online appointment request tool.
Once you have made your initial appointment, you may preregister by downloading, printing, and completing the forms below. Doing so prior to your visit will help speed up the new patient registration process.
Please be sure to bring forms with you to your first visit along with any diagnostic films or other test results that may have been ordered or performed by another physician.
Established patients can update forms online through our patient portal. If you need help accessing the portal, please call the office and we’ll be happy to help.
- General Patient Registration (PDF)
- Patient Information Update Form (PDF)
- Workers Compensation Patient Registration Form (PDF)
- Private and Medicare Patient Registration Form (PDF)
- No Fault Patient Registration Form (PDF)
Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the Adobe icon.