Forms & Policies 

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Thank you for your interest. I am glad to have the opportunity to work with you to achieve your health/nutrition goals. The following policies have been established to assist our work together.


Please click the link below to access the required forms. Please return these forms to us prior to your 1st visit. 

Please take note of our cancellation policy. 24 hour notice is required for all cancellation. There is a $40 dollar cancellation fee not cancelled within this time frame.

Please feel free to contact us with any questions. It is our intention to partner with you to deliver optimal health and nutrition.  

Tel: (631) 320-3993

Fax (631) 320-3994

Dietitian, Nutritionist,

Dietabetes Educator

1 Terry Street, Suite 3

Patchogue, NY 11772

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© 2017 by Premier Physical Therapy & Nutrition of Long Island