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Martha G. Aliwalas, M.D.
Martha G. Aliwalas, M.D.
Biography
Joseph P. Augustine, M.D.
Joseph P. Augustine, M.D.
Biography
Karen E. Beckman, M.D.
Karen E. Beckman, M.D.
Biography
Louis Bonavita, Jr., M.D.
Louis Bonavita, Jr., M.D.
Biography
Peter J. Christiano, M.D.
Peter J. Christiano, M.D.
Biography
Stephanie A. Clapper, MD
Stephanie A. Clapper, MD
Biography
Paul A. Fiacco, M.D.
Paul A. Fiacco, M.D.
Biography
Michael P. Mincolla, MD
Michael P. Mincolla, MD
Biography
Michael J. Picciano, M.D.
Michael J. Picciano, M.D.
Biography
Elizabeth Saarie, M.D.
Elizabeth Saarie, M.D.
Biography
James L. Tarala, MD
James L. Tarala, MD
Biography
Betsy Carlisle, PA-C
Betsy Carlisle, PA-C
Biography
Rachael L Cavelli, FNP-C
Rachael L Cavelli, FNP-C
Biography
Melissa S. Giufre, PA-C
Melissa S. Giufre, PA-C
Biography
Ellen Goodwater, FNP-C
Ellen Goodwater, FNP-C
Biography
Elaine Jablonka, RN
Elaine Jablonka, RN
Biography
Theresa M Lucason, PA-C
Theresa M Lucason, PA-C
Biography
Amy L. Luchsinger, FNP-C
Amy L. Luchsinger, FNP-C
Biography
Ruth McDonald, PA-C
Ruth McDonald, PA-C
Biography
Kristen McNeil, PA-C
Kristen McNeil, PA-C
Biography
Kristin E. Mullally, FNP
Kristin E. Mullally, FNP
Biography
Amy Russell, PA-C
Amy Russell, PA-C
Biography
Piek L. Tan, RD, CDN, CDE
Piek L. Tan, RD, CDN, CDE
Biography
Annette Tolone, FNP-C
Annette Tolone, FNP-C
Biography
Receive Our Health e-Newsletter Patient Portal Access

NEW CHILD PATIENT INTAKE FORMAll parents of children under the age of 18, WHO ARE NEW TO THE PRACTICE, need to complete this patient information form and hand it to the receptioninst when they arrive for their first appointment with the doctor. (Requires Microsoft Word to view.)
NY STATE HEALTH PROXY FORMThis form allows you to appoint someone you trust to make health care decisions for you if you lose the ability to make decisions for yourself. Please complete and bring to CNY Family Care so it can be attached to your patient record. (Requires Adobe Reader to view. Get your free version below.)
RETURNING ADULT PT UPDATE FORMATTENTION TO ALL RETURNING PATIENTS. This form should be completed and handed to the receptionist at your next office visit. [THIS FORM IS NOT FOR PATIENTS WHO ARE NEW TO THE PRACTICE]. (Requires Microsoft Word to view.)
CNY FAMILY CARE PAYMENT POLICYThis summarizes our payment policies for all patient visits...whether it is for a regular office visit or as a result of an auto accident etc. Please familarize yourself with these policies prior to your next visit to our practice. (Requires Adobe Reader to view. Get your free version below.)
NEW ADULT PATIENT INTAKE FORMAll adult patients WHO ARE NEW TO CNY Family Care should complete this updated patient information form and hand it to the receptionist when they check in for their first appointment. (Requires Microsoft Word to view.)
AUTH FOR TREATMENT OF MINORS FORMThis form needs to be completed by a parent or guardian on behalf of a minor under 18 years of age. It needs to be presented at the front desk when any minor comes to a scheduled doctor appointment accompanied by someone other than his/her parent or guardian. (Requires Adobe Reader to view. Get your free version below.)
AUTO CLAIM FORMAs a courtesy to our patients, CNY Family Care will send bills to your auto insurance carrier. This form is required in order for this process to begin. Please complete and bring to the office when you come for your office visit if you want your auto insurance to be billed. (Requires Adobe Reader to view. Get your free version below.)
WORKERS' COMP FORMThis form is needed to process all Workers' Compensation Claims. (Requires Adobe Reader to view. Get your free version below.)
MEDICAL RECORDS RELEASE FORMThis form is used when a patient seeks to authorize the release of his/her medical records. Please read and follow the instructions it applies to your individual medical record needs. (Requires Adobe Reader to view. Get your free version below.)
CNY FAMILY CARE NOTICE OF PRIVACY PRACTICESThis document describes how medical information may be used and disclosed and how our patients can get access to needed medical information. (Requires Microsoft Word to view.)
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