Patient Resources

Patient Forms

Below are links for the patient information for your upcoming appointment. These forms can be submitted electronically or, if preferred, can be printed and brought in with you to your

To start the process of online form submission click on the appropriate link above. You will be able to move field by field typing in your information and then electronically submit directly to our office.

Patient Information

  • Appointment Scheduling
  • Patient Forms
  • Office Policies
  • Insurance Plans

Book An Appointment

Appointment Scheduling

Our office has available appointments Monday–Friday, 8:00am–2:30pm. We understand how important your time is, and we willstrive to provide you with timely, efficient service.

Appointments can be scheduled in the following manner:

  • By phone at (631) 476-9100. Our appointment schedulers are available Monday-Friday, 8:00 am – 4:00 pm.
  • Through our website contact us page HERE 24 - Hours a day and someone will contact you at the first available opportunity

All information provided is confidential, secure and HIPAA compliant.

Office Policies

These policies are part of our commitment to building asuccessful provider-patient relationship with you and yourfamily.

Cancellation Policy

We will reserve your appointment time specifically for you.Therefore, we respectfully request that you give us a minimum of24-hour notice if you need to cancel or reschedule. We dounderstand that an emergency or unforeseen event may result inyou needing to cancel your appointment at the last minute.However, if you miss a second appointment without sufficientnotice, you may be subject to a no show/late cancellation fee,which is not covered by insurance.

Surgical Appointments

Our office asks for a 72 hour notice of cancellation for surgical appointments. If an emergency arises, please give us as much notice as possible. Failure to show up to a scheduled appointment, without a cancellation phone call, may be subjected to a $100 No Show/Late Cancellation Fee.

Financial Policy

Payment is requested for all copayments, deductibles, and coinsurances at the time of service.

We accept American Express, Visa, MasterCard, Discover, Cash, and Checks as forms of payment.

As a courtesy to our patients, our office will submit insurance claims to your insurance on your behalf.


We are dedicated to helping you obtain the full benefits of your medical insurance. However, we can only estimate the coverage that your insurance company will provide for the services that we render, and we are unable to make any guarantees regarding coverage, due to the complexities and variations in insurancecompany policies.

As a courtesy, our office staff will bill your insurance company for covered services, and allow a 45-day grace period for them to pay. If the insurance company has not paid the balance of your bill within 60 days, you will be responsible for any unpaid portion.Therefore, we encourage you to contact our office if your account has not been paid within 30 days. If you have any questions regarding your account, please call our billing office at 631-503-1400.

Suffolk Vascular Associates cares for all patients, regardless of race, religion, national origin, disability, sex, gender, sexual orientation, age, or military service. We accept most private insurance plans, including Medicare.

Accepted Insurances:

  • Aetna Medicare
  • Aetna Commercial
  • BCBS Federal
  • BCBS MediBlue
  • BCBS Independence
  • Emblem HIP
  • Emblem Essential
  • Emblem HIP Select Care
  • Emblem HIP Medicaid
  • Emblem HIP Prime Network
  • Emblem HMO
  • Emblem HIP: VIP Bold Network
  • Empire BCBS Empire POS
  • Empire BCBS Empire PPO
  • Empire BCBS Empire HMO
  • Fidelis
  • GHI (NY City Plan)
  • Healthfirst
  • Humana Medicare
  • Humana Commercial (GHI)
  • Magnacare
  • Medicare
  • Meritain
  • Multiplan
  • NY Empire Plan (NYSHIP)
  • Oxford Freedom & Metro
  • Oxford Liberty
  • Tricare
  • UHC
  • UHC Medicare Advantage HMO
  • UHC Medicare Advantage PPO
  • UHC Choice Plus POS
  • UHC Choice Plus EPO
  • UHC Choice Plus HMO
  • UHC Choice Plus +HMO
  • UHC Community
  • UHC Commercial
  • UMR
  • US Family Health Plan
  • VA Insurance

Self-Pay Accounts

Self-pay accounts are patients without insurance coverage or patients covered by insurance plans that our office doesn’t accept. As a courtesy, we offer a self-pay discount. Payment is expected in full at the time of your service. Please call our office at (631) 476-9100 for additional information.

Returned Checks

The charge for a returned check is $25. This will be applied to your account in addition to the insufficient funds amount.


If your insurance company requires a referral for your visit, you are responsible for obtaining the referral from your primary care provider. We are available to assist you, but failure to obtain the referral and/or preauthorization may result in you being held responsible for the entire bill.

Prescription Refills

Our policy is not to renew any prescription for a patient who hasn’t been seen in our office within the past year. Some medications require more frequent monitoring. If we require an appointment before a refill is approved, it’s because we want to provide you with the best possible care. Call our office at (631) 476-9100 or submit a request online here.

Radiology or Pathology Charges

Occasionally, it is necessary for us to send you out for additional radiology or pathology testing. When additional testing is performed, you may receive separate charges from the rendering facility as well as additional office visits. All patient results are handled through our office and will require an in person appointment to notify you of your results.

Schedule a Consultation

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