Documents

Primary Care: Services Offered | Documents | Medical Home | Insurance | Un-/Under-Insured

Patient Documents - Family Doctor in Albany, NYHere are some of the documents of particular relevance to new patients. We request that new patients complete the new patient packet and email fax or bring to their first visit.  All forms are in PDF format. Adobe Reader is required to view and print these files. All documents open in a new window.

New patient packet Pediatric

New patient packet Adult

Consent to release of records

Non-Covered Services

Notice of Privacy Practices (HIPPA)

Interpreting results

Primary Care: Services Offered | Documents | Medical Home | Insurance | Un-/Under-Insured

 

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