Khalid P. Sindhu, MD
Khalid P. Sindhu, MD
Biography
Adam M. Rubin, MD
Adam M. Rubin, MD
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Erin L Birchenough, FNP-C
Erin L Birchenough, FNP-C
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Patient Information
ATTENTION NEW PATIENTS:
As required by law, we must validate the identification of all patients establishing care with our practice.   Please bring photo identification (ex: Drivers License, Passport, Military ID, School ID etc.) and your health insurance card with you to this appointment.

 

  • You will be asked to electronically sign our Notice of Privacy Practices, Cancellation/No Show Policy, and Health Information Request form. A copy of these are available upon request.
  • You will be having blood work drawn twenty minutes prior to your office appointment.
  • You do not have to fast for the blood work.
  • Bring ALL medication bottles or a complete list of all medications, including vitamins and/or any herbal supplements that you are currently taking. 
  • Co-payments, co-insurance and deductibles are due at time of service.  For your convenience we accept VISA, MasterCard, ATM/Debit cards as well as cash and personal checks.
MEDICAL RECORDS RELEASE FORM
BLOOD SUGAR LOG SHEET
BLOOD PRESSURE LOG SHEET
MOLST FORM (DNR)
NYS HEALTH CARE PROXY
CANCELLATION AND NO SHOW POLICY
NOTICE OF PRIVACY PRACTICES
NEW PATIENT PACKET