Patient Forms

If you or your child is a new patient, or would like to transfer care to our office, please download the form below, and drop it off or fax it to our office or your previous provider. 

Our fax is: 315-592-3571

To know what to expect at your child’s well child/physical appointment, download the document below. Scheduled vaccinations are also here.
WHAT TO EXPECT WHEN YOU VISIT (Click to Download)

This ensures that—before your first appointment—we are able to receive previous medical records and immunization records. Thank you!
NEW PATIENT TRANSFER FORM (Click to Download)

To transfer your care or your child’s care to another practice, please download the form below, and drop off or fax to our office.
TRANSFER OUT FORM (Click to Download)

DAYCARE MEDICATION FORM (Click to Download)

WORKING PAPER FORM (Click to Download)