To Candida Fink MD
Phone 877-534-1090
Fax 914-633-5406
Please enter all requested information and fax your appointment request to our office.
| Patient's Name: | ||
| Date of Birth: | ||
| Please select the type of appointment you need. Choose only one. |
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| When do you need this appointment? | ||
| Which times are best for you? Mark all that apply. After school appointments are scarce; please book in advance |
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| Home Phone: | ||
| Work Phone: | ||
| Cell Phone: | ||
| Email Address: |