Request an Appointment

Please do not use this form if you have an urgent medical problem or you need to reschedule an existing appointment.

Instead, contact our office at (718) 319-1610. After you submit your request, our appointment scheduler will respond within 24 hours. See below for forms to complete. Established patients may log in to the patient portal to request appointments and update forms.

    First Name

    Second Name

    Phone

    Email

    Patient

    Registration Forms

    Starling Diagnostics in the Bronx, New York, welcomes you to our practice. Once you have made your initial appointment, you may preregister by downloading, printing, and completing the forms below. Doing so prior to your visit will help speed up the new patient registration process.

    Please be sure to bring any diagnostic films or other test results that may have been ordered or performed by another physician.

    Downloadable
    Forms

    Please note:

    It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

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    Facility code:
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    • Appointments
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    • Request prescription refills

    Patient Education

    Want to learn more about radiology and the conditions we diagnose? Check out our in-depth, A-to-Z Patient Education Library.
    Learn more

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