Patient Forms

We will resume scheduling new patients after: April 4, 2019

1. Once you have a confirmed appointment date, please download, complete and send us the following PDF forms by email or fax to: michelle@davidwexlermd.com    Fax: (844) 684-8343

 

2. In addition, once you have a confirmed appointment date, please fill out the:

Please note: we do not take insurance. A superbill will be provided to submit to your insurance carrier.

Update: Dr. Wexler is not accepting new patients. Dr. Lei is accepting new patients on a limited basis. Please email inquiry@wexlermedicalpartners.com for availability.