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For Patients

Forms and Instructions

New Patient Health History Form

For new patients, please take the time to complete this New Patient form and bring it to your first visit.

Patient Bill of Rights

View our Patient Bill of Rights document.

Health Care Proxy

The most difficult part about considering potential end-of-life decisions is thinking them through when you are relatively healthy, and then communicating them to your loved ones. Once you have done this, obtaining and filling out the forms should be easy. is the first website to offer a free online tool that allows you to quickly and easily create, print, and save the forms required when completing one of the following documents:

  • A health care proxy is a legal document that lets you name a healthcare agent - that is, someone you trust to make health care decisions for you if you are unable to make decisions for yourself in the future. It also gives you the option of listing specific health care wishes.
  • A living will allows you to leave written instructions that explain your health care wishes, especially about end-of-life care, should you be unable to speak for yourself in the future.

You can obtain additional information and forms on the New York State Department of Health website.


View insurance-related information.