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 

• Annual Visit Form

Risk Assessment for Familial Breast Cancer

• If requested by the provider, patients should complete this form and bring to their visit.

• Risk Assessment Form

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