Northwell is taking advanced precautions to guard against Coronavirus. Learn more before arriving at one of our facilities. Click here

Forms

Welcome to Queens Medical Associates. For your convenience, please print and fill out the new patient packet and present it to the front desk when you arrive for your first office visit. Thank you.

New Patient Packet – click here to print or download the form, remember to bring completed forms to your 1st visit

ORDigital New Patient Packet – Click on icon below to fill out forms online and send electronically, click get started after you clicked on the icon for better viewing experiences.
You may also use adobe’s online tool here to fill the form and send it to QMAMedicalRecords@northwell.edu

Advance Directive

We recommend all patients complete an Advance Directive and a Medical Order for Life-Sustaining Treatment (MOLST) form  and keep it on file in their medical record. Click on the title of the forms to download; multiple languages are available.

Consent to Receive Text Messages Form click here. Please download, print, and bring completed form to our office on your next visit.

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