Only complete the form below AFTER your consultation with Dr. Lankster. Information submitted without a prior consultation will not be processed.

​When stating your current issues or concerns, please include specific symptoms, dates, and details. If you are submitting documents for a dependent, include the dependents full name and date of birth in your message.

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Upload a copy of the FRONT and BACK of the insurance card as well as the government ID of the policy holder.

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If you are having difficulty submitting your documentation, you may email your information to docs@drnlankster.com