Patient Information

Paperwork must be completed prior to your appointment. New and established patients must complete the Patient Registration Packet and submit to the office 24-48 hours prior to your appointment. Your options are:

Please email or fax your patient forms 24-48 hours prior to your appointment.

Request an Appointment

Appointments are available Monday through Friday. Evening appointments are available on select days. The office is closed on weekends and major holidays.

If you are an established patient and would like to schedule an appointment, please call (631) 689-5390

If you would like to request a new patient appointment, please click on the New Patient Request Form link below. Please email or fax the completed form with a copy of the front and back of your insurance card to either, or fax (631) 689-5395. An administrative staff member will contact you within one to two business days regarding your new patient appointment request.

New Patients Pending an Appointment

If you were approved as a new patient, please complete the New Patient Packet and Patient Registration Packet. Please email or fax a copy of the completed forms with a copy of your driver's license. Upon receipt of your packet and identification, an administrative staff member will contact you to schedule an appointment. Please arrive 15 minutes prior to your scheduled appointment, and be sure to bring a valid photo ID and your insurance card. Please call our office at (631) 689-5390 if you have questions regarding the New Patient Forms.

Patients with a Virtual Appointment

Please make sure that you have Microsoft Teams installed on your device prior to your appointment. To install Teams, click here.
Click here for more information on how to prepare for your Telehealth visit.

Patient Forms:

New Patient Packets:

Additional Forms:

Self Pay:


All Island Behavioral Health currently works with over 30 major insurance companies. Our staff is always working on accommodating our patients and their insurance providers. Please call our office at (631) 689-5390 to find out if your carrier is on our continuously expanding list of providers.

  • Aetna/US Healthcare (not Flexible Five or Upfront Advantage)
  • Aetna International
  • Aetna Meritain Health
  • Aetna Signature Administrators
  • Aetna Student Health
  • Aetna Workers' Comp
  • Affinity Health Plan - Medicaid (not Essential)
  • Affinity Medicare Passport Essentials
  • Affinity Medical Passport Essentials NYC
  • Affinity Medicare Ultimate
  • Affinity Medicare Solutions
  • AgeWell NY
  • Alicare Local 277
  • Beech Street
  • Champ VA
  • CenterLight Healthcare (Comprehensive Care Management)
  • Emblem Healthcare Partners Essential Plan
  • Empire BC/BS
  • Empire BC/BS Anthem
  • Empire BC/BS Excellus
  • Empire BC/BS Federal
  • Empire BC/BS Out of State (Verizon Plan)
  • Empire BC/BS Senior Plan (Mediblue) (not Select)
  • Empire BC/BS Senior Plan (Mediblue HealthPlus HMO, HealthPlus Dual or Plus)
  • Empire BC/BS Suffolk County
  • Empire Blue Access (non-local plans)
  • Empire Blue Healthplus (formerly Healthplus Amerigroup)
  • Fidelis Medicaid (not Essential)
  • GEHA through Aetna Signature Administrators
  • GHI Medicare
  • Great West Healthcare (Cigna)
  • Healthfirst (including HNP and SHP) (not Essential)
  • HealthNet Federal Services (Tricare)
  • HealthSmart (WTC Health Program)
  • HIP Medicaid
  • HIP (Healthcare Partners)
  • HIP/Emblem Essential Plan
  • HIP/Emblem Select Care
  • HIP VIP Bold Medicare
  • HIP VIP Prime
  • HIP VIP Prime Medicare
  • Humana through GHI Network Access
  • Island Group Administrators
  • Magnacare
  • Medicare
  • Medicaid
  • Multiplan/PHCS
  • Oxford Freedom (UHC) (not Metro)
  • Oxford Liberty (UHC) (not Metro)
  • PACE Benefit Plan (CenterLight Healthcare)
  • Railroad Medicare
  • United Healthcare (UHC)
  • UHC All Savers
  • UHC Care Improvement
  • UHC Choice/UHC Choice Plus
  • UHC Community Plan (not Essential)
  • UHC Compass Exchange
  • UHC Compass Rose
  • UHC Definity
  • UHC Golden Rule
  • UHC Harvard Pilgrim
  • UHC Health One
  • UHC International
  • UHC Medica Passport
  • UHC Options
  • UHC Optum Veterans Affairs Community Care Program
  • UHC Select Plus
  • UHC Shared Services (formerly Integrated Services)
  • UHC Student Services
  • UMR United Healthcare
  • United/Empire Plan (NYSHIP)
  • Veterans Choice Program
  • Vytra
  • Workers' Comp