Patient Resources

Patient Resources

New Patient Health History – Print and complete before your trip to our office and save time!

Authorization to Release Health Care Information – This authorizes us to release confidential information to other physicians and medical facilities, or may be used to transfer records to us from your previous physician.

New York State Health Care Proxy – Use this official NYS form to appoint someone you trust to make health care decisions for you if you lose the ability to make decisions yourself.

PDF files, such as the downloads on this page, require Adobe Reader (a free download) to be viewed or printed.
When Visiting Our Office

To ensure your office visit goes as smoothly as possible, please bring the following items with you:

First Visit
  • Driver's license or other photo ID 
  • Insurance card and co-pay or co-insurance due
  • Medication list (please include over-the-counter medications)
  • Vaccination record
  • Completed New Patient Registration form (download above) 
  • Completed medical release form if applicable

Every Visit
  • Insurance card and co-pay or co-insurance due
  • Medication list (please include over-the-counter medications)
  • List of medications requiring refills

Helpful Links

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