Patient Information


Patient Forms

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time you will save significant time at the time of your visit.

Patient History Form
Pre Appointment Instructions
Post-Surgery Instructions
Mi Paste Instructions
Homecare Toolkit for Special Needs Patients

Office Hours

Monday Tuesday Wednesday Thursday Friday
Hours  9am – 5pm 9am – 5pm 9am – 5pm 9am – 5pm 9am -5pm
Monday: 9am – 5pm
Tuesday: 9am – 5pm
Wednesday: 9am – 5pm
Thursday: 9am – 5pm
Friday: 9am – 5pm


Office Policies


To schedule an appointment please call our office at (212) 974-8737 or use our contact form. New patients are always welcomed. Our team will be pleased to assist you in any way possible and all efforts will be made to accommodate your schedule.Everyone at our office is at your service.


If you are unable to keep an appointment, we ask that you kindly provide us with at least 48 hours notice. This courtesy, on your part, will make it possible to give your appointment to another patient.


Our office provides on-call service for emergencies, 24 hours-a-day, 7 days-a-week. Call and our team will be contacted immediately. Telephone (212) 974-8737

Financial Options

All major credit cards, check, cash. Affordable, interest free monthly payment plans through CareCredit

Things to bring to every appointment:

1. Medical History Card

You can create a card on your computer or visit a website like, which offers free templates that you can print out and Laminate to keep in your wallet so that you’ll have it with you. Also, in an emergency situation, most EMTs will look inside your wallet for your identification and any medical information you may carry.

Key information includes:

  • Medical conditions
  • Dates of past surgeries
  • Current medications
  • Emergency contact information
  • Other doctors’ names & phone numbers
  • Health insurance information
  • Drug allergies
  • Blood type

2. Changes To Your Medical Record

If you’ve had any new test results since your last visit, bring that information with you, even if you believe your doctor has already seen the report(s). They will help your doctor have the most-complete picture of your health and reduce the need for additional testing. It will also remind you to review it face-to-face which is especially important if you’re seeing a new practitioner.

3. Prescription Drug Record

Many can’t remember the names of medications or how much they’re taking. Either write a list (check
it twice) or gather and put all your medication in a zip-lock bag and take it with you. Tell your doctor if you’ve stopped taking any or haven’t followed dosage instructions.

Be honest. If you mislead doctors about prescription compliance, they may assume your medications are
not working which could lead to dangerous or unnecessary adjustments.

4. List Of Alternative Therapies

Let your doctor know if you’re taking/using any alternative medicine, vitamins, or herbal remedies.

5. Journal Of Symptoms

Keep a journal that documents your symptoms and note how they affect your daily life.

6. List Of Questions

Seeing the doctor can make you nervous and you can forget the question(s) you wanted to ask. Write them down ahead of time so you don’t leave the office without asking them and getting the answers you need.

7. Notebook And Pen

Take notes throughout your visit. If there’s anything you don’t understand, don’t hesitate to ask your doctor for clarification.

8. Friend Or Family Member

Having someone with you can provide crucial moral support. They can remind you of your primary question and concerns and help take notes.

Patient Newsletters

Our Hygienist, Melissa McEnerney brings her knowledge and fun personality to our office newsletter, which is written by her to help improve our patients’ dental health and awareness.

Request a Consultation

A consultation appointment is what we recommend that your first visit be as a patient. Overall patient satisfaction depends on quality communication with the doctor. At Louis Siegelman, DDS, our patient’s satisfaction is our main focus. If there is anything we can do to make your experience easier or more comfortable, please let us know. Your suggestions are sincerely appreciated.

Quick Contact

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