To move forward with the new patient process, please complete the following steps:
1. Complete the enclosed New Patient Packet, which includes:
- A request to release your previous primary care and/or specialty care medical records.
- RHIO (Regional Health Information Organization) consent form.
Please note: Submitting the New Patient Packet does not automatically make you an active patient at our clinic.
2. Once we receive and review your medical records, a member of our team will contact you to:
- Schedule your new patient appointment.
- Discuss any additional care plans that may be necessary.
Please click here to download the New Patient Packet.
Included in this packet are the following documents:
- New Patient Checklist
- New Patient Application
- Consent and Authorization Forms (including NYSIIS)
- Patient Release of Information
- Patient Intake Form
- Patient Expectations Information Sheet
- Medication Refill Information and Acknowledgment Form
- Form Completion Guidelines
Additionally, please submit:
- Proof of Insurance
- Picture ID
Please return the completed forms by mail or drop them off at our front desk during business hours (Monday–Friday, 8:00 AM – 6:00 PM).
Once you become a patient, you'll have the opportunity to create an account in our Patient Portal. The Patient Portal is a secure, convenient, and easy way to access your health information.
Here’s what you can do with our portal -
- Communicate with your provider.
- Get reminders
- Manage your appointments
- Access your test results
- View your medications and request refills
If you have any questions or need assistance with the forms, we’re here to help. Contact us at Call Us: 315.624.9470
