Patient Forms & Insurance
Having all paperwork filled out prior to your visit will help ensure a shorter wait and helps our office run on time. Please bring your insurance card and photo identification to the visit. All copays, coinsurances and deductibles are due at the time of your visit. If your insurance requires a referral, it is your responsibility to ensure that we have the referral prior to your visit. When possible, our office will help you obtain a referral. Don’t hesitate to contact our office with any questions regarding your upcoming visit at 631-689-6698 ext 2204.
- New Patient Registration Packet
- Worker’s Compensation Registration Packet
- No-Fault Registration Packet
- Concussion Information HandoutImportant to read and review prior to your concussion visit
- New Patient New Condition FormFill out this form if this is the first time Dr. Harary is treating you for this condition
- New Patient – No Fault Form
Insurance
Dr. Harary participates with the following major insurance plans. If you do not see your plan listed, please call 631-689-6698 ext 2204. We may still participate with your plan.
- NYSHIP
- MEDICARE
- AETNA
- EMBLEM (HIP)
- GHI
- OXFORD (May 1, 2020)
- BCBS
- ANTHEM
- CIGNA
- LOCAL 1199
- MAGNACARE
- OSCAR
- FIDELIS
- PUPIL BENEFITS
- WORKMAN’S COMPENSATION
- NO-FAULT
- UNITED (May 1, 2020)
Our Locations
East Setauket
East Setauket, New York 11733
Commack
500 Commack Road Suite 150B
Commack, NY 11725
Wading River
6144 Route 25A Building A Suite 4 & 5
Wading River, NY 11792
West Babylon
60 Fleets Point Drive Suite 1
West Babylon, NY 11704