Dr. Scott Friedman - Dr. Randy Weinstein 500 Portion Road, Suite 15
Lake Ronkonkoma, NY 11779
(631) 588-1199
Request an Appointment
Island Orthodontics Facebook

New Patient Forms

You may access the following forms to assist us with your care. Please print and fill out the desired form, then bring it to your appointment.

adobe These forms require Adobe Acrobat Reader.
Click the Adobe logo to download.

Child Patient Form
Adult Patient Form
Privacy Notice (HIPAA)