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CNY FAMILY CARE PEDIATRIC PATIENT INTAKE FORM Welcome to CNY Family Care! We are pleased to serve your healthcare needs and those of your family. To assist our providers and staff, please complete
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Obtain the patient forms from the front desk or reception area at the downtown location.
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Fill out all sections of the form accurately with your personal information, medical history, and insurance details.
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Make sure to sign and date the form where indicated.
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Return the completed patient forms to the front desk or reception area before your appointment.

Who needs patient forms - downtown?

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Anyone who is a new patient at the downtown location or anyone who has not filled out patient forms at this location previously.
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Patient forms - downtown are the necessary documents that patients must complete before receiving medical services in the downtown area, including personal information, medical history, and insurance details.
All patients seeking medical services in the downtown area are required to file patient forms before their appointments.
To fill out patient forms - downtown, patients need to provide accurate personal and medical information, review the forms carefully, and submit them to the healthcare facility prior to their appointment.
The purpose of patient forms - downtown is to gather essential information about patients that helps healthcare providers deliver appropriate care and ensure proper billing.
Patients must report personal identification, contact information, medical history, current medications, allergies, and insurance details on patient forms - downtown.
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