PLEASE SCROLL DOWN FOR NEW PATIENT INTAKE FORM
These forms may be printed and completed by hand to
scan/email before your first visit with Dr. Kotlus if you are unable to complete the online form.
( You must have Adobe Acrobat Reader to view these forms. )
20 E. 66th Street
(between Madison and 5th)
If you should have any questions regarding Dr. Kotlus’ services,
please contact us.