Patient Forms
Please download and fill out the appropriate forms below.
- Advice to Patients Regarding Substance Abuse
- Checking Your Insurance Benefits
- Consent to Release Health Info
- Notice of Privacy Practices and Policies
- Physical Exam Request
- Statement of Privacy Practices
- Notice of Office Policies and Procedures
- Patient Notification Required by NY Public Health Law Section 24
“Do you want to know who you are? Don’t ask. Act! Action will delineate and define you.” – Thomas Jefferson