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Patient Forms

See below for new patient forms. You may fill out and submit the all forms online, or print and complete them on paper to bring on your first visit.

Should you choose to fill out and submit a form online, you may be assured that your information is completely secure and inaccessible by anyone except NYCS. This is a confidential record and will be kept in your doctor’s office. Information submitted here will not be released to anyone without your authorization to do so.

Please complete all online forms or download package:

Consent for Medical Records
Complete online

NYCS Medication List
Complete online

NYCS New Patient Forms
Complete online

HIPAA Privacy - Please Review Notice of Privacy Practices before filling out this form
Complete online

Download Complete Package
Download to print

Advanced Directives Form
Download to print