Patient Forms

Before your appointment with us, quickly and conveniently access patient forms from our practice.

To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com. Please bring your completed forms with you to our office at the time of your visit.

• Patient Demographic Sheet
• Patient History Form
• Office and Payment Policy
• HIPAA Release Form

Practice Policies

Appointments

Appointments can be made by calling our office during normal business hours.

After Hours & Emergency Care

If you are experiencing an emergency, dial 911 or head to the nearest emergency room. For all other calls, an on-call physician is available 24-hours a day, 7-days a week. For non urgent calls please call 716-649-6500 during normal business hours.

Prescription Renewals

Prescriptions are renewed during normal office hours. Please give the office at least 36 hours notice for all prescription refills. In some instances, we may require that the patient be seen in our office prior to medication renewal.

Financial

All office visits are payable at the time of service. We accept cash, checks, and most major credit cards and debit cards. Please contact our billing office should you have any financial questions or concerns.