For Your Convenience
Save time in the waiting room on the day of your appointment by downloading, printing and completing your patient registration and consent forms in advance of your first visit.
Healthy LIC Patient Forms in English
Registration Form Download
Consent Form Download
Patients Rights Information Download
Notice of Privacy Practices Download
Notice of After-Hours Services Download
Health Care Proxy Form Download
Healthy LIC Patient Forms in Spanish
Notificacion de Practic de Privacidad Download Notificacion de Servicios durante las horas de clausura Download
NYS Information on Advance Directives
Advance Directives Policy Statement (English) Download Recap of NYS Health Care Proxy Laws (English) Download 
