Dr. O'Connor, Dalton and Pytlak
35 Monroe Place, Brooklyn, NY 11201
Top Photo

Forms & Policies

Coney Island, NY
Medical Records Release Form

Office and Billing Policies

New Patient Intake Form

Notice of Privacy Protection (HIPPA)

Forms for schools and camps are usually printed at the day of a well child visit. Requests for forms can also be made on the portal. Requests for transfer of a child's complete medical record to other doctors need to be made in writing by one of the parents.