Welcome to Our Practice
Services Available by Location
Sliding Fee Scale
HIPAA Notice of Privacy
FQHC Survey *
Health History Form *
Consent to Discuss PHI *
Consent for Treatment *
HIXNY Consent Form *
HealthEConnections Consent Form *
Psychosocial Needs Assessment *
Telehealth Consent Form *
Forms marked with a * are required to be filled out prior to your visit.