Balance Health

Family Health NP's
  • Home
  • Primary Care
    • Primary Care Services
    • Practice Policies
    • New Patient Request
    • Primary Care Forms
  • Patient Portal
  • Aesthetics
  • Insurance/Bill Pay
  • Contact
  • More
    • Home
    • Primary Care
      • Primary Care Services
      • Practice Policies
      • New Patient Request
      • Primary Care Forms
    • Patient Portal
    • Aesthetics
    • Insurance/Bill Pay
    • Contact
Balance Health

Family Health NP's
  • Home
  • Primary Care
    • Primary Care Services
    • Practice Policies
    • New Patient Request
    • Primary Care Forms
  • Patient Portal
  • Aesthetics
  • Insurance/Bill Pay
  • Contact

Patient Resources

Here you will find the necessary paperwork needed before your first visit. Downloading and completing this paperwork ahead of time will streamline the check in process and ensure that we have all the essential information to provide the best possible care. 

New Patient Forms

Patient Forms

Welcome Letter (pdf)

Download

New Patient Consents (pdf)

Download

Balance health new patient form (docx)

Download

Patient Intake form (pdf)

Download

HIPAA Consent (pdf)

Download

Consent for Treatment (docx)

Download

Balance Health Family Health NP's PLLC.

50 Auert Avenue Suite 3, Utica, NY, 13502

315-316-0931

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Currently Accepting New Patients

call office at 315-316-0931 to schedule!