900 Northern Boulevard, Suite 130
Great Neck, New York 11021
516.465.8787
Lyle Leipziger M.D, FACS

Patient forms

New Patients (forms)

For new patients at Dr. Leipziger’s office, please remember to have all necessary forms filled out in advance of coming in for your appointment. This preparation makes the process much smoother and efficient. Please contact the office if you have any questions or concerns regarding the forms ahead of time.


900 Northern Boulevard, Suite 130
Great Neck, New York 11021
516.465.8787.