Patient Forms Overview

You need to print and complete the forms below prior to your scheduled visit. Contact our office at (518) 785-5881 to find out which forms you will need.

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.

• New Patient forms and information
• Pre-Physical forms and information
• Health Care Proxy and Living Will form
• Non-Hospital Order Not to Resuscitate (DNR) form

The below forms can be used to track your blood sugar and blood pressure. If you have been diagnosed with high blood pressure or high blood sugar, you may use these sheets to keep track of your numbers. Please bring these diaries with your to your next appointment to review with your provider.

• Glucose (Blood Sugar) Diary
• Blood Pressure Diary