
Patient Paperwork
Click on links to open PDFs in a new tab to download and print necessary paperwork.
New Patient - Registration and History
- New patients should complete this form and bring it to their first visit.
- Registration and History Form
Established Patient
Risk Assessment for Familial Breast Cancer
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If requested by the provider, patients should complete this form and bring to their visit.
Authorization to Disclose Medical Records
For patients who would like Saratoga Hospital to disclose their medical records,
please complete this form and fax to 518-581-0141
or scan and email to smarkowski@saratogahospital.org
DISCLOSE MEDICAL RECORDS FORM
Please allow up to 7 to 10 business days for the request to be processed
Authorization to Release Medical Records
For patients who would like Saratoga Hospital to receive their medical records,
please complete this form and fax to 518-581-0141
or scan and email to smarkowski@saratogahospital.org
RELEASE MEDICAL RECORDS FORM
Please allow up to 7 to 10 business days for the request to be processed
HOURS
Monday through Friday
8:30 AM – 4:30 PM
PHONE
518-587-2400
Fax: 518-581-0141
NAVIGATION