• About ECLI
  • Our services & treatments
    • Colonoscopy
    • Upper endoscopy
    • Flexible sigmoidoscopy
    • Anesthesia
    • Pathology
  • Our physicians
  • Events
  • Patient forms
  • Pre-/post-procedure guidelines
  • Patient education
  • Celiac Center of Long Island – CCLI
  • No Surprise Billing Act
  • Insurance & billing
  • Contact & directions
  • Careers
  • Blog

ECLI

Contact ECLI at:

(516) 227-3254

(516) 227-ECLI

Monday – Friday: 7:00am – 4:00pm
Hours may vary due to COVID 19
Please contact us at 516-227-3254 if you have
any questions about your appointment time.

Click here for Coronavirus FAQs
  • About ECLI
  • Our services & treatments
    • Colonoscopy
    • Upper endoscopy
    • Flexible sigmoidoscopy
    • Anesthesia
    • Pathology
  • Our physicians
  • Events
  • Patient forms
  • Pre-/post-procedure guidelines
  • Patient education
  • Celiac Center of Long Island – CCLI
  • No Surprise Billing Act
  • Insurance & billing
  • Contact & directions
  • Careers
  • Blog

PATIENT FORMS

These forms are provided to you so your visit can be as safe, comfortable and effective as possible.

Please be sure to review and complete the Patient Personal Information Form and Patient Medical History Form and bring these to your appointment. You can complete the forms on your computer and print them, or you can print the blank form and fill it out by hand. Also, please read and review the Patient Bill of Rights form prior to your visit.

ECLI forms

  • Patient personal information form
  • Patient medical history form
  • Patient bill of rights

Also you will need to complete the three-part Medication Reconciliation Form, which will be provided to you by your physician during your visit.

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711 Stewart Avenue, Garden City, New York 11530
Phone: (516) 227-3254, (516) 227-ECLI
Fax: (516) 998-4078

Site map • Privacy policy and compliance disclaimer • Careers
Licensed by:
New York State Dept of Health

Accredited by:
Accreditation Association for Ambulatory Health Care, Inc. (AAAHC)

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