 | HIXNY Consent Form | The Health Information Exchange of New York is part of a statewide network that gives your doctors the information they need to provide you with the best and safest care: your medical history, allergies, medications, specialist visits, lab tests and more.
This is the form that you would sign electronically, allowing Dr. Albert to access the HIXNY database. | | Our Notice of Privacy Practices/HIPAA Information | When you come into our office, we will ask you to sign the notice, electronically, advising you that we follow HIPAA guidelines and regulations. As a practice, we will not disclose protected health information without appropriate consent. | | NY State Dept Of Health Recommended Vaccine Schedule | A listing of when vaccines are given to children who are patients of Dr. Albert. | | New Patient Demographic Information | If you would like your child(ren) to be new patients of Dr. Albert, please complete this form, along with the Release of Medical Records Form and return it to our office. Once received, we will call you to schedule your new patient visit(s). | | Release of Medical Records Form | This form can be used to request records to be sent to our office from another office, or for us to send records to another office. |
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| Rensselaer and Albany County Healthy Neighborhoods Program | Healthy Neighborhoods Program - Free health and safety survey, education, resources, and referrals! FREE safety and cleaning products - including smoke detectors, carbon monoxide detectors, fire extinguishers, cabinet locks, shock stoppers, door knob covers, corner protectors, allergen barrier mattresses and pillow covers, mops, buckets, dust wipes, baking soda and vinegar, flashlights, nightlights and pest management control products. |
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