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Patient Registration

Drs. Klein and Rubinstein - Brooklyn, NY
Drs. Klein and Rubinstein - Brooklyn, NY
Drs. Klein and Rubinstein - Brooklyn, NY

Please download and fill-out our Patient Registration Form and Medical History Questionnaire. After you have completed these forms, please make sure to bring them on your first visit to our office. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

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Patient Registration Form DOWNLOAD

Medical History Questionnaire DOWNLOAD

Court Street - Borough Hall
NYC Subway Line 2 NYC Subway Line 3 NYC Subway Line 4 NYC Subway Line 5 NYC Subway Line R
Jay Street - MetroTech
NYC Subway Line A NYC Subway Line C NYC Subway Line F NYC Subway Line R
Brooklyn Bus Borough Hall
B25 B26 B38 B41 B45 B52 B103

Drs. Klein and Rubinstein
32 Court Street, Brooklyn, NY 11201, Suite 1401
Telephone: 718.636.0435
Fax: 718.857.6100
e-mail: kleinandrubinstein@verizon.net