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Welcome to Geriatrics and Medicine Associates!

We are excited to have you join our practice. This packet is to help us get to know you and get ready for your first appointment. Please download and fill out all of the enclosed forms on this page and send them back to us as soon as possible so that we may attain your records from your previous Primary Care Physician.

When we have received both your new patient packet and your medical records, we will call you and set up your initial appointment with your new physician. We ask that you bring all of your medications with you to each visit.

Before we can continue we will need you to compete the following forms:

Step 1 - Download the forms to complete.

Download All Forms as one file

Or download the forms individually

  1. Registration Form
  2. History and Physical Form
  3. Ethnicity & Race Form
  4. Patient Permission for discussion of Health Care
  5. Medical Release Form
  6. Patients' Bill of Rights
  7. Questions About Health Care Costs

 

Step 2 - Complete all forms.

In order to get ready for your first appointment, you will need to complete forms above. 

Please complete electronically or print and complete by hand at your earliest convenience.

 

Step 3 - Return completed forms.

please choose one of the following options:

Option 1: Email 

Gamanew@URMC.Rochester.edu

Option 2: Fax

Complete the forms and fax to:

Fax: (585) 341-8310

Option 3: Mail or Drop off

Geriatrics and Medicine Associates (GAMA)
990 South Avenue, Suite 207
Rochester, NY 14620