Patient Forms
If you are a new patient of the Endocrine Surgery Center, we will ask you to fill out the following paperwork in order for us to provide you with the best care. Please take a few moments, prior to your visit, to fill out the forms available for download in the links below. Bringing these forms to your visit filled out will help us to process the paperwork more efficiently and reduce your time waiting to see the physician. If you have any questions, please contact your physician's office.
- Registration Form
- NYPH Adult Medical Questionnaire
- Patient Questionnaire
- Notice of Privacy Practices
- Patient Acknowledgement of Notice of Privacy Practice
- Medical Information Release Authorization Form
Favor de tomar un momento, antes de su visita, para llenar estos formularios. Trayendo estos formularios completos a su visita nos ayudara a reducir su tiempo de espera para ver al medico. Si usted tiene cualquier pregunta por favor comuniquese con la oficina de su medico.
