Patient Forms

Patient Forms


Please complete these forms prior to your scheduled appointment and mail them back to our office. If your appointment is scheduled in fewer than 5 days, please fax the forms to our secure fax, (518) 371-5338, or bring them with you to your scheduled visit.

NOTE: All forms are in Adobe PDF format.

2021-2022 Flu Vaccine Screening
Benadryl Dosage Chart
Consent for relatives
Emergency Information - Children with special needs
FAQs for newborns
Manual for New Dads
Medical Records Release for New Patients
Medical Records Transferred
New Patient Packet
Pediatric Registration Form
Recommended Immunization Schedules - What you should know
Tylenol Dosage Chart
Vaccine Safety