
For your convenience, Colon and Rectal Surgical (CRS) has made several of our patient forms available on our website. Completing these forms prior to your appointment will help save time when you arrive.
Simply download these forms (you will need Acrobat Reader to view them), print them and complete the necessary information.

In addition to the appropriate forms below, please bring with you a complete list of all your prescribed and over-the-counter medications, herbs, supplements and ointments, along with dose for each. You may wish to ask your pharmacist for a print out of your medications.
>Patient Registration Form
>New Patient Packet (also print Patient Registration)
>Established Patient Packet (also print Patient Registration)
>Recall Packet (also print Patient Registration)
>Directions to Our Offices
>About CRS and our Physicians
>About Mobile Medical's Anesthesiologists
>Before You Visit The Doctor
>Patient Rights
You may then:
Option 1 - Fax them to CRS's office at (516) 570-4046.
Option 2 - Bring them with you to your appointment.
If you prefer to receive the forms by mail, please call us at (516) 608-6848 or (631) 423-5070 and we will mail them to you.
If you have any questions about the requested information, please call us at (516) 608-6848 or (631) 423-5070 and we will be happy to assist you.
With two convenient locations on Long Island, New York, Colon & Rectal Surgical provides care for patients from Queens, Nassau and Suffolk Counties. To make an appointment with CRS please call our Lake Success office
at (516) 608-6848 or our Huntington office at (631) 423-5070
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