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NEW!

You may now download and print intake and HIPAA forms to fill out at home and to bring in to your appointment.  Doctors forms are continually being added.  These forms are in  PDF* format.  Please look under your doctors name to the right and click to access forms.

 

Please call Reception at

914.421.1500 ex 0

to make an appointment

with any of these practitioners

unless otherwise noted.

 

*In order to view PDF files, you need Adobe Acrobat which is available for free download here.

PLEASE NOTE

Full Circle Family Care rents space to medical practitioners and healers.

Each practice and specialty is
independent and stands alone.

We are not a group practice,
though we often collaborate.

When contacting us regarding the practitioners, please specify which practitioner you are interested in.
 

 

Primary Care

• Full Circle Women's Health

Complete Health Care for Women and Teens

Lisa Gussack, RN, CNM, MS, MPH

Kathy Herron, MS, CNM
Robin Bradley, MS, CNM

Michelle Chiafulio, CM

Intake Form/HIPAA (new patients)

Medical Records Release Form (to transfer your records to FCWH when joining our practice)

Medical Records Release Form (to transfer your records to new provider)

Menstrual Chart

 

• Margaret M. Kern

Certified Nurse Practitioner

 

Breastfeeding

 

Regina Camillieri IBCLC, RLC
International Board Certified Lactation Consultant

Mental Health

• Rebecca Abramson, PhD

Clinical Psychologist

 

Catherine Daniels, MD

Psychiatrist

 

Layne Raskin, PsyD

Infant-Early Childhood & New Mothers Psychologist

Specialists

Joseph R Carcione, Jr DO, MBA

Neurology, Clinical Neurophysiology, Neuromuscular Medicine, Acupuncture

 

 Janice Ditchek

Clinical Herbalist and Herbal Education

 

• Jonathan Donath, D.C., M.S.

Chiropractor and Nutritionist

Intake Form

HIPAA

 

• Melissa Keras-Donaghy, DPT, CLT-LANA

Women's Health Physical Therapist
Certified Lymphatic Therapist

Intake Form

HIPAA
 

Anne Margolis, CNM, NP

Home Birth Midwife

 

Hedi Leistner, MD

Pediatric Pulmonologist

Medical Acupuncture

Initial History

Patient Consent Form

Patient Information

Privacy Statement

 

• SOPHIA Natural Health Center

Breast and Whole Body Thermography

See webpage for intake forms

 
• Jaesun Yoo, L.Ac. MAOM, Dipl. OM

Acupuncture & Herbal Medicine

General Intake Form

Female Fertility Intake Form

Male Fertility Intake Form

Office Policy & Informed Consents Forms

Mind • Body • Spirit

• Beth Gibney Boulden
Certified Kripalu Yoga Instructor

• Andy Steigmeier
Certified Fitness Professional

• Danielle Elise Guillet, LMT
Licensed Massage Therapist

• Rebecca Shroyer, LMT
Licensed Massage Therapist

• Louisya Graves
Reflexologist & Reiki Master