Now accepting Telehealth appointments. Schedule a virtual visit.

New Patient Forms


We are pleased to welcome you to Dr. Alla Khalfin's practice. In order to expedite your appointment, please download and fill out the forms below and bring them with you to your appointment.

New Patient Form

Patient Medical History

Aesthetic Survey

Copay and No-Show Consent

Medical Consent Form

Alla Khalfin, DO
175 Jericho Turnpike, Suite 201
Long Island

Syosset, NY 11791
Phone: 516-206-4266
Office Hours

Get in touch