Integrative Family Health NP, PLLC
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    • Home
    • Services
    • About Us
    • Price List
    • COVID-19
    • Contact Us
    • Patients
    • New Patient Specials!
    • TRT@Home
Integrative Family Health NP, PLLC
  • Home
  • Services
  • About Us
  • Price List
  • COVID-19
  • Contact Us
  • Patients
  • New Patient Specials!
  • TRT@Home

Welcome

PRIVACY AND BILL OF RIGHTS

When you schedule a new patient appointment our office will send you a link to complete required intake forms electronically. However, pdf versions of intake, health care proxy, DNR, and MOLST forms are included here for your reference. Not all forms will be applicable to every patient and are merely provided as a courtesy. Bring an insurance card and photo ID to every appointment.

NYS Patient Bill of Rights (pdf)

Download

NYS-Hipaa_Records-Request (pdf)

Download

Non-Discrimination Policy (pdf)

Download

NYS Health Care Proxy (pdf)

Download

NYS-DOH-MOLST (pdf)

Download

NYS-DOH-DNR (pdf)

Download

Vaccine Information Sheets

As a patient convenience, we've included printable versions of vaccine information sheets (VIS)  from the Centers for Disease Control and Prevention for common immunizations. If you are traveling to a remote area, participating in medical missions, or service-related mission trips, additional vaccines may be recommended. Schedule a travel appointment at least 4 weeks prior to your trip to ensure your immunizations are up-to-date. Your provider will discuss your needs and our office will order vaccines as appropriate.

dtap[1] (pdf)Download
flu[1] (pdf)Download
hep-a (pdf)Download
hep-b (pdf)Download
mening (pdf)Download
mmr (pdf)Download
pcv13 (pdf)Download
ppv (pdf)Download
shingles (pdf)Download
shingles-recombinant (pdf)Download
td (pdf)Download
tdap (pdf)Download
varicella (pdf)Download

Copyright © 2021 Dr. Dunham Integrative Family Health NP, PLLC - All Rights Reserved.

P: 518-579-0012

  • New Patient Specials!

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