Michael O. Tanzer, MD

NYC Psychiatrist located in the Financial District - 65 Broadway, Suite 739, New York, NY 10006  ~ phone: (646) 580-1970


Patient Resources - Forms, Privacy Policy & Terms of Service


The New Patient Packet contains forms to be filled out by new patients. Please download the packet and fill out the forms for review by Dr. Tanzer:

New Patient Packet consists of the following forms:
    1.    Health Questionnaire
    2.    HIPAA Privacy Policies
    3.    Medical Release Form
    4.    Financial Agreement


ADHD Self Reporting Checklist

 


Privacy Policy


The office of Michael O. Tanzer, MD, is dedicated to protecting the privacy of all visitors to the website. Upon your request we may ask you for your contact information or other personal data so that we can provide you with information or to process credit card payments.

We do not supply any personal information to outside parties (other than where we may be obligated to by law, as required to process credit card payments or to process insurance claim forms).

We treat any and all of your information as confidential and consider your privacy of utmost importance. We take measures to safeguard and ensure your privacy and consider it a matter of trust that your information is secure, guarded and protected.

We do not store credit card numbers online. They either get passed on to a credit card processing center or get processed manually. We recognize that maintaining the privacy and confidentiality of health information is of the highest priority.


Terms of Service


By accessing, browsing and/or using the tanzermd.com website you acknowledge that you have read and agree to the Terms of Service.

This website may contain trademarked or copyrighted information, the terms of which must be observed and followed. Information on this website may be changed without notice and may contain technical inaccuracies or typographical errors.

No representations are made whatsoever about any other website which you may access through tanzermd.com. In no event will tanzermd.com and its owner be liable to any party for any direct, indirect, special or other consequential damages for use of this website. All information on this website is presented on an "as is" basis only.