New to CNY OBGYN, or maybe you were a patient of CNY OBGYN prior to the 2020 transition to Dr Brown, we will need to update your information in our system. The new patient forms & packet are to provide both patients and our providers with the information needed. Transferring from another provider? Filling out the medical authorization release will allow us to obtain your prior medical records on your behalf.
Please fill out the "New Patient Packet" below and fax to (315) 445-2847 or bring to our office on your next visit. Make sure to bring valid photo ID and a copy of your insurance.
To view the forms listed below, you will need Adobe Reader. Please bring your completed forms with you to our office at the time of your visit. Questions? Call us at (315) 445-2701.
New Patients of CNY OBGYN- Click the link below or copy & paste this address into your browser to go to our upload page and then upload your completed Release of Information form. Telemedicine consent forms may also be uploaded via this link.
Please DO NOT upload any other forms or documents thru this link.
If you are prior patient of CNY OBGYN or a provider looking for records, please see our Contact Us page for directions on securely requesting prior medical records.
CNY Obstetrics & Gynecology
5800 Heritage Landing Dr, Suite C, East Syracuse NY 13057
Ph (315) 445-2701 Fx (315) 445-2847
Copyright © 2019 CNY Obstetrics & Gynecology - All Rights Reserved.