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 Patient Information
 
Patient Information

In an effort to make your medical or dental care as convenient as possible, we have posted our new Patient Registration Forms on-line for easy downloading and printing. Please fill these forms out as completely as possible and bring them with you to your first visit. If you require assistance in completing any forms, just let us know. We'll be happy to help you, call us at 845-354-9300

Adult Medical History Pediatric Medical History
Patient Information Release of Information
Permission to Release Form Notice of Privacy Pract.(HIPPA)

Please Note:You will require Adobe Acrobat Reader© to view the forms below. If you do not already have this program installed on your computer, you may download it for free by clicking on the icon below.



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