Appointment Request
If you are an existing patient, use this form to
Request an appointment
Your information is faxed directly to our office and we will contact you by phone to complete your request.
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Downloadable Patient Intake Form
If you are a new patient to our clinic, you may save time by completing the following forms prior to arriving for your appointment.
Click on the form, open it and print it out.
You need Adobe Acrobat (PDF) Reader to open the form.
Click here to download free Adobe (PDF) Reader.
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Dr. Howard Luks
Empowered Doctor Medical Board
19 Bradhurst Ave. Ste 1300N
Hawthorne, NY 10532
Tel: (888) 834-8517
Fax: 1-914-789-2743
This office serves patients in the following areas: Mount Vernon, New Rochelle, Peekskill, Rye, White Plains, Yonkers, Bedford, Cortlandt, Eastchester, Greenburgh, Harrison, Lewisboro, Mamaroneck, Mount Kisco, Mount Pleasent, New Castle, North Castle, North Salem, Ossining, Pelham, Pound Ridge, Scarsdale, Westchester County, Ardsley, Briarcliff-Manor, Bronxville, Buchanan, Croton-on-Hudson, Dobbs Ferry, Elmsford, Hastings, Irvington, Larchmont, Pleasentvillle, Port Chester, Rye Brook, NY 10532
Office Hours
By Appointment
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