265 Lake Ave A, St. James, NY 11780

265 Lake Ave A, St. James, NY 11780

Online Forms

Dr. Raymond A. Semente offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Download the Free Adobe Reader®

HOURS

Monday  

8:30 am - 12:15 pm

3:00 pm - 6:45 pm

Tuesday  

3:00 pm - 6:45 pm

Wednesday  

8:30 am - 12:15 pm

3:00 pm - 6:45 pm

Thursday  

Office is open for appointment scheduling and administative business issues from 9:00- 3:00pm

Friday  

8:30 am - 12:15 pm

3:00 pm - 6:45 pm

Saturday  

8:30 am - 11:15 am

Sunday  

Closed

LOCATION

CONTACT US

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If you have no insurance or your services are non-payable and/or your insurance does not pay for these services, are you willing to pay for treatment that's reasonable based on your pain and suffering?

Please do not submit any Protected Health Information (PHI).