Most of our forms are available here as downloadable PDFs. You may want to complete the forms at your convenience before your appointment. If you are unsure of which forms you need to complete, please call the office at 845/454.0120.
To get forms simply click on a link below, or right-click and choose download/save to disk. The Adobe Acrobat reader is required to view or print forms. If the files don't open, click here to download the Free Acrobat Reader from the Adobe site.
Download Forms for Adult Patient
Adult Patient Intake Paper work
Adult Medical History
Consent for Purposes of Treatment
Download Forms for Child Patient
Child Patient Intake Paper Work
Child Medical History
Consent for Purposes of Treatment
To Request Medical Records call 845-454-0120 ext. 1117 or ext. 1263
Download Medical Information Request forms
Download Notice of Privacy Practices
Download list of insurances
Please Note: some of our physicians have additional patient history forms related to your specific condition.
Dr Barrick's and Dr Perkin's:
SPINE QUESTIONNAIRE.pdf
SPINE FOLLOW UP QUESTIONNAIRE.pdf
Dr Virk, Dr Sharma and Stephen Lebitsch FNP patient history forms:
Pain Questionnaire
Pain Follow up questionnaire
Pre-Injection pain management instructions
Post operative pain management instructions
Brochures
As our brochures become available they will be posted here for download.
Physicians Guide
The Hand Therapy Center
Osteoporosis
The Power of Massage Therapy
Physical Therapy brochure