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Finger Lakes Family Care

 

 

 

 

Downloads & Forms

Finger Lakes Family Care's forms for establishing care with us as well as for all of your other needs are listed below.  Please choose the appropriate form you require and downoad as a pdf file.  Adobe Acrobat Reader is required.

 

Medical Library

 

Forms Library

New Patient Registration Form

Record Release/Authorization For of Medical Information

Service Authorization and Personal Effects Release

Email Consent Waiver

Rochester RHIO Consent Form

HIPAA Notice of Privacy Practices

Joint Custody Designation

NYSDOH Patient Bill of Rights

Organ Donation Registration Form

Patient Handouts Library

Tylenol and Motrin Dosing

Newborn Care Guidelines

Pediatric Bright Futures Pocket Guide

Annual GYN recommendations

Finger Lakes Family Care Patient Policies

2009 Child Immunization Schedule

2009 Adolescent Immunization Schedule

2009 Adult Immunization Schedule

Child Vaccine Record

Adult Vaccine Record

2009 Child Catch-Up Schedule

Adult Vaccine Screening Questionnaire

Finger Lakes Family Care Procedural Services

USPSTF Clinical Screening Guidelines, 2008

Press and Articles

Medicinal Purpose", RIT Alumni Magazine, Fall 2007

Trends in Patient Care, May 2008

September 2009 Marketing Brochure

 

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