Patient Information

Our Office Policies

Our office is conveniently located on 1401 East Jefferson Suite 200. Our friendly and efficient Front Office Staff will assist you to arrange an appointment that is most convenient. To schedule an appointment please call us at 4255476997.

Office Hours

For information or to schedule an appointment, please call us at 4255476997.

Appointments/Cancellations

With the exception of serious emergencies, it is expected that you keep all of your appointments. If you need to reschedule an appointment we require 24 hours notice. In such a case, please call our office and arrange for a make-up appointment with one of our patient care coordinators.

please give 24 hours to cancel or you will be charge a fee

Emergencies

Our office provides on-call service for emergencies. Call 4255476997 so that the physician on call can be contacted.

If you are experiencing an emergency please call 911 or go to your nearest emergency

Payment

The Brooklyn Anne Regina Dayl Smith accepts cash and personal checks as well as the following credit cards:

• Visa
• MasterCard
• American Express
• Discover

We also accept these payment options :

• Care Credit

We accept Medicare an many other insurance providers also self pay for those who are paying for a employee mental health evaluation court pays for mental health clients we work with finance 

Patient Forms

The Brooklyn Anne Regina Dayl Smith provides our patients with office forms for your convenience. We recommend you print and fill these forms prior to your appointment to save time.

• Patient Registration
• Medical History
• X-ray Records Release
• HIPAA Compliance
• Consent
• Financial Agreement

Note: These files are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here.