Prepare For Your Visit at Northwell, Concorde Pediatrics

Prenatal, Infant and Adolescent Care

To help us make your child’s visit as smooth and stress-free as possible, we kindly ask that you complete the patient forms before your scheduled appointment. Having this information ahead of time allows us to focus more on your child’s care and keep wait times to a minimum. You can find the typable forms below as well as  how to submit them to our offices.

 

Patient Forms to be Completed Prior to Appointment

Forms & Information for Portal Access

To visit the patient portal for pediatric patients, visit: https://www.northwell.edu/manage-your-care/patient-portal#frequently-asked

To submit forms to Concorde Pediatrics at Gramercy, use the email below or Fax: (212) 473-5696

  • Dr. Daniela Di Caro
  • Dr. Sophia Gigos-Costeas

Email: ConcordePediatrics@northwell.edu 

If you have any questions about the forms or how to submit, we would be happy to help! Give us a call at (212) 473-4200

To submit forms to Concorde Pediatrics at Madison, use the email below or Fax: (212) 628-8147

  • Dr. Juan Roure
  • Dr. Anna Zou
  • Dr. Junko Nishita
  • Dr. Daniela Di Caro
  • Dr. Sophia Gigos-Costeas

Email: ConcordePedsMadison@northwell.edu

If you have any questions about the forms or how to submit, we would be happy to help! Give us a call at (212) 879-7014