Patient Forms

Access and complete the necessary patient forms here to streamline your visit with Premier Health Partners.

Patient Forms

If you are a patient with Premier Health Partners, PC, we encourage you to log into the Patient Portal for the following forms:

  • Health Care Proxy 
  • NY Authorization Release of Health Info 

New Patient Forms

If you are a new patient with Premier Health Partners, PC, we encourage you to contact your provider’s office and request any forms needed prior to your appointment. This will help speed up the check-in process so you can see your provider in a timely manner.


No-Fault Form

Please fill out and bring this form with you to your next appointment.


Workers’ Compensation Form

Please fill out and bring this form with you to your next appointment.