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
Newborn New Patient Packet
Pediatric Registration Form
Recommended Immunization Schedules - What you should know
Tylenol Dosage Chart
Vaccine Safety