Patient Forms
We apologize in advance for giving you homework before your first visit with us. If you would be so kind as to fill out the appropriate forms prior to your visit with Dr. Rosenkilde or Dr. Caporaso, your visit will be much easier.
In addition, it gives the doctors a chance to read your history before meeting with you.
Please, click on the underlined entries below to open up the necessary forms for your evaluation; there are currently FOUR sets underlined. You do not need to print the "Notice of Privacy Practices", provided that you read it and sign form that you have done so in our office. Your may need to install a Compatibility Pack to open the documents. Click on "Install" and follow the instruction on the screen. The installation process will last a few minutes.
You may fax the forms back to the office at 914-241-0413, or mail to us, if your appointment is in 2 or more weeks. The mailing address is:
Westchester Health Neurology
Carl Rosenkilde, M.D., Ph.D.
91 Smith Avenue
Mt Kisco, NY 10549
If you are going to see Dr. Caporaso, the fax number is 914-302-2276; the telephone number is 914-302-2140. Dr. Caporaso has his main office in Yorktown Heights, but also see patients in Mt. Kisco. The main mailing address:
Westchester Health Neurology
Gregg Caporaso, M.D., Ph.D.
322 Underhill Avenue
Yorktown, NY 10598
If your appointment is within 2 weeks and you don't have access to a fax, please just bring them with you the day of your appointment.
Thank you.
"We can lick gravity, but sometimes the paperwork is overwhelming." ~ Wernher von Braun