Patients

Thank you for selecting psychiatrist Dr. David Lifschutz in New York City to care for you. To schedule an appointment, please call us at (212) 529-2733 or contact us below.

Once you have made your initial appointment, you may pre-register by downloading, printing, and completing the forms below. Please be sure to bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process.

Downloadable Forms:

New Patient Packet (includes patient registration form, family and medical history, financial policies, and HIPAA consent form)

Symptom Question Forms

What to Bring to Your First Appointment:

  • Completed New Patient Packet and Symptoms Questions Form

  • Payment (cash, check, major credit card, or health savings account card)

  • Any medical records that might be helpful in your evaluation

  • Name, telephone number, and zip code of your pharmacy

Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.