​​​​ Family Medicine of Malta

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No Fault Insurance Forms

If you are a new patient to our practice please print and fill out the forms below prior to your first appointment.

If you are coming in for an injury that occurred while working or if you were in a motor vehicle accident please fill out the appropriate forms below.

HIPPA

Authorization to release records from Family Medicine of Malta

Workers' Compensation Form

​+1.518-899-5390​

Authorization to release records to Family Medicine of Malta

Patient Demographics

Forms

HIV/AIDS Testing Consent Form

Health Assessment

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