635 Madison Avenue • New York, NY 10022 Patient Portal Login
Just Come See Us. We've Got Your Health.

Appointments & Patient Forms

Make an Appointment

If you are a new patient, please contact the physician’s office to make your first appointment.

Established patients may call the physician office to make an appointment or request an appointment using our Patient Portal.


Preparing for Your Appointment

Please bring a list of current medications, medical insurance card, photo ID, payment for services, your preferred pharmacy's phone number and correct mail order pharmacy, and a completed patient registration form and a signed HIPAA form (see links below).


Downloadable Forms

For all new patients, please download and print the following forms to bring in before your visit.

Patient Registration Form

HIPAA Form


For new patients of Dr. Jasper and Dr. Randolph, please print, complete, and bring forms for your visit

GYN Initial Visit Form


For new patients of Dr. Drosinos and Dr. Marin, please print, complete, and bring the forms for your visit

OB/GYN Initial Visit Form


For new allergy consultation patients of Dr. Resnick, please print, complete, and bring forms for your visit:

Allergy Consultation Initial Visit Form


Cancellation Policy

Please give us at least 48 hours notice of cancellation. Any cancellation with less than 48 hours notice will result in a cancelation fee ranging from $50 to $200 or more depending on the appointment.


Insurance and Payment

Payment is expected at the time of service. Please be prepared to pay any copays, co-insurances or old balances owed at the time of service. We will work with out-of-network plans, submitting claims to the insurance company on your behalf for your reimbursement. We accept Visa, Mastercard, Discover, Amex, checks and cash.


Our Secure Patient Portal

Access NextMD® - Secure Patient Portal

NextMD® is our safe and secure patient portal that enables you to communicate with your physician online.

Using NextMD® enables you to:

If you are currently enrolled in NextMD®, click here to access the portal. If you are not already enrolled, please call your physician's office to get started.