Online Consultations
COVID-19 WHAT WE ARE DOING AND WHAT YOU NEED TO KNOW
Remote Visits for New Consultations and Follow Up Appointments
I am now offering remote visits for new consultations and follow up appointments. My entire staff is here for you, so please either call our office or complete the online request form indicating you would like to set up a virtual consult.
To submit patient forms via the website, please follow these steps:
1. Download the forms to your comptuer
2. Fill out forms and save the completed form to your computer
3. Then on the website, fill out the info in the submit a form section and be sure to attach the completed version of the form/s before submitting
- Patient Information Form
- Notice of Privacy Practice
- Office Visit Waiver
- Photo Authorization
- Credit Card on File
Download Adobe Acrobat Reader to view, download, and complete each form.
Office Phone: 203-861-6620
Office Fax: 203-861-6621
Office Hours
Monday | 8:30am – 4:30pm |
Tuesday | 8:30am – 4:30pm |
Wednesday | 8:30am – 4:30pm |
Thursday | 8:30am – 4:30pm |
Friday | 8:30am – 4:30pm |
Elsa Raskin MD
Greenwich Office
2 1/2 Dearfield Dr. Ste. 102
Greenwich, CT 06831