Patient Forms

The simplest method for completing the steps necessary to becoming a patient is to contact our New Patient Coordinator during regular business hours at 518-674-3174.

If you are unable to do so, please click on the links below to download and print our forms. Please complete the forms prior to your appointment and bring them along with your insurance card to your appointment. If you are unable to complete the forms prior to your appointment, please plan to arrive 15-20 minutes early so that you can complete them in our office.

New Patient Information Form

Adult Medical Form

Medical History Update Form

Child Medical Form

Office & Financial Policies Form

HIPAA Form

Records Release Request Form

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Patient Forms