• 2518 Ocean Parkway
    Brooklyn, New York, 11235
  • WE ARE OPEN

    Monday to Friday 10:00 AM - 05:00 PM

Appointments / Forms

Making an Appointment
Consults are by appointment only, you can call, email, or fill out the form below. Timeliness is very important for us, we understand your time is valuable, and as such, we expect you to respect our time as well. Please try to be prompt to your appointment, and please contact us if you’re running late. We want this to be a pleasant experience, and be able to provide you with the time that you deserve!

Insurance We Accept
Aetna
Blue cross Blue Shield
Cigna
Emblem HIP
Fidelis
GHI
Horizon BC BS
United Community Plan
United Health care
United Oxford

Out of Pocket Fees

$60  Metabolic Test
$40  In-body test body composition
$85  Metabolic Test & In-Body
$350 Package of 10 In-body test
$400 Package of 10 routine follow-ups

$225 Initial Consultation
$275 Intial Consultation with Tests
$100 Comprehensive Follow Up
$60  Routine follow-up
$180 Senior citizen rate

Payment and Cancellation
Payments are expected at the beginning of each session (cash, checks, quick pay, Venmo) Cancellations made less than 24 hours in advance are subjected to a $50 fee In the event the insurance doesn’t cover the fee of the appointment, the patient will be responsible for covering the session’s fee. Cancellation policy forms will be reviewed and signed by every patient prior to their appointment to avoid any miss understandings. Credit card or check will be kept on file for the cancellation fee.

FINANCIAL AGREEMENT FORM

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NEW PATIENT INFORMATION FORM

Sandy Zohni MS RD CDE CDN
2518 Ocean Parkway
Brooklyn, New York, 11235
Tel: 718-376-1616
Email: mydietconnection@gmail.com

  • Date Format: MM slash DD slash YYYY
  • INSURANCE DETAILS

  • Date Format: MM slash DD slash YYYY
  • CANCELATION POLICY:

    I UNDERSTAND AND AGREE THAT (REGARDLESS OF MY INSURANCE STATUS) I AM ULTIMATELY RESPONSIBLE FOR THE BALANCE OF MY ACCOUNT FOR ANY PROFESSIONAL SERVICE RENDERED. IN ADDITION, I AM AWARE THAT ANY CANCELLATION MADE LESS THAN 24 HOURS PRIOR TO THE APPOINTMENT TIME WILL RESULT IN $50 OUT OF POCKET FEE. I CERTIFY THIS INFORMATION IS TRUE AND CORRECT TO THE BEST OF KNOWLEDGE. I WILL NOTIFY YOU WITH ANY CHANGE IN MY STATUS OR THE ABOVE INFORMATION.
  • Accepted file types: pdf, jpeg, tiff, png, jpg.
  • Date Format: MM slash DD slash YYYY

SPECIAL PAGE FOR SPECIAL ACCESS

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