New Location Coming Soon! 3003 Genesee Street, Cheektowaga, NY 14225

NEW PATIENT FORMS

Northeast Medical, PC Contents Patient Forms NEW PATIENT FORMS

 

Patient Forms

• New Patient Registration Form & Health History Questionaire

• 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
716-832-6207
2865 Genesee Street, Cheektowaga, NY 14225
716-262-0616
1404 Pine Avenue, Niagara Falls, NY 14301
716-284-8333
3003 Genesee Street, Cheektowaga, NY 14225