Patient Information

Access to our Patient Portal is availableContact the office to get your username and password.


Please download and complete the below New Patient Forms prior to your initial consultation with Dr. Bourhill. Feel free to call us at 631.424.4026 if you have any questions.  You can fax completed forms to 866-427-7103 or email to This e-mail address is being protected from spambots. You need JavaScript enabled to view it .


Patient Registration

Medical History

Consent for Purposes of Treatment