Patient Portal Access

DNR Order
Workers Compensation Information
Health Care Proxy New York State
No-Fault information form
Acknowledgement of receipt of privacy notice
Records Release Out
Records Release In
New Patient Information Sheet
ACKNOWLEDGEMENT OF RECEIPT OF PRIVACY NOTICEAfter you have obtained/read the 2013 Notice of Privacy Practice this Acknowledgement of Receipt of Privacy Notice must be signed, dated and sent or brought to the office to be attached to your chart. (Requires Adobe Reader to view. Get your free version below.)
2013 NOTICE OF PRIVACY PRACTICEThis notice describes how medical information about you may be used and disclosed and how you can get access to this information. (Requires Adobe Reader to view. Get your free version below.)
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