NEW PATIENT FORMS

Patient Forms

• Health Assessment Questionnaire for New Patient Form

• New Patient Registration Form

• HIPAA Consent Form

• Financial Policy Form

• Medical Release Form

• Personal Representative(s) Authorization Form

• Protected Health Information Consent Form

• Patient Health Questionnaire (PHQ-9) Form

• No Show Policy

Contact us to learn more about your primary care physician, Dr. Tajinder Pal Singh.

What we offer

Services

Our Locations

Choose your preferred location

3488 Sheridan Drive, Amherst, NY 14226

585-449-6990

2865 Genesee Street, Cheektowaga, NY 14225

585-449-6890