We collect and use information you provide to help schedule the appointment you request. We don’t share your information. We don’t track you. We protect your information with passwords. You can control this information by what you provide. You may opt-out by not completing this form or by contacting us thereafter to have your personally identifiable information removed from our subscription list and/or computer database. You may call or email us to update your patient info. You may call or email us with privacy questions. Contact: (212) 758-1000 or email@example.com.