Patient Forms - Pre-Physical


In preparation for your upcoming preventative visit, we would appreciate you completing the enclosed forms, including the medication sheet. Be aware that some questions may not apply to you and some may be new to the forms. So please fill them out as thoroughly as possible, as we have changed electronic medical record systems and want to ensure your record is accurate and up to date.

Below you will find our Pre-Physical form, and Medication List form:

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.

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

Sincerely,
Latham Medical Group