Appointments & Forms

In order to expedite your visit, please make sure to provide us with your current insurance company and member ID number so we can verify your eligibility and benefits prior to your visit.
Bring in your insurance and photo ID, the day of your visit.
If you have any medical records that you would like the doctor to review, please bring them in with you.
Fill out the forms below prior to your visit.

We look forward to seeing you soon!

Patient Forms

Click the button below to see the full list of accepted insurances.

View all accepted insurances

Learn more about our office by playing the video. You can also learn more about Dr. Selitsky by clicking on the button below.

Visit About page

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