Common Forms

General AIM Forms

AIM General Info/First Time Visit Form: English and Spanish.

myNYP/Patient Portal Signup Directions - First page is English, second is Spanish. This can be printed with an individualized confirmation code (in both English and Spanish) via the Profile page in iNYP, which makes things much easier for patients.

Advance Directive Forms

Health Care Proxy - In English and Spanish. Other language translations

MOLST - For out-of-hospital DNR and do not hospitalize orders. Be sure to go through the appropriate checklist to ensure your form is completed correctly.

Department of Health Letter Regarding Repeat CXR for Latent TB

When you have a patient with documented latent TB and a negative chest X-ray, there is no need to repeat a chest X-ray annually! This letter from the department of health can spare a lot of patients a lot of radiation.

Common Social Work Forms

M11q - You may fill out one or two of these!

NYS DOH Consumer Directed Personal Assistance Service (CPDAS) - For patients who want to hire their own HHA rather than using an agency.

Access-a-Ride/Paratransit Certification - Talk to Emilia from social work if filling out one of these.