Patient Forms - New Patient


Welcome to Latham Medical Group. Thank you for choosing us as your healthcare provider.

Our physicians and staff are dedicated to providing the best in modern medical services in a caring atmosphere. We value our relationship with you and want to serve as your "personal medical home".

Our location in the Capital Region Health Park offers the convenience of laboratory, radiology, pharmacy and many specialty services right within the same building, eliminating the need to travel to different sites.

Below you will find our New Patient Registration Form, Health Exam History Form, Medication List, HIPAA - Notice of Privacy, Acknowledgement Form (please sign) and Release of Medical Records Form.

NOTE: The Release of Medical Records needs to be completed by you and sent to your previous physician so that we may obtain your medical records.

You may send your completed forms to our office via fax at (518) 785-1574 or mail them to:

Latham Medical Group
713 Troy-Schenectady Road
Suite 224
Latham, NY 12110

If you are mailing forms, please send them at least two weeks prior to your appointment. Completing the forms in advance will allow us to ensure our documentation is accurate and we can have more time to focus on areas of concern at the visit.

As part of our commitment to quality care, we have created a multi-use voicemail system. Many of our services can be accessed through the Automated Phone System so you won't need to wait for a receptionist to take your call. These services are available 24 hours a day, 7 days a week.

  • Dial 785-5881.
  • For prescription refills press 2
  • For referral requests press 3
  • For a call back to schedule routine appointment press 4
  • For cancelling appointment press 5
  • For hours and directions press 6
  • For appointment or to speak with a receptionist press 7

We look forward to seeing you here at Latham Medical Group. Thank you for giving us the opportunity to serve you.

Sincerely,
Latham Medical Group