New Patient Forms

First of all, we would like to take a moment and welcome you as a new patient here at Cancer Care of Western New York. Thank you for choosing us.

To save time at your first appointment, you may want to download and print this New Patient Information Packet. Please bring the completed forms with you to our office at the time of your visit. This packet also includes some information about what else you will need to bring to your first appointment.

Below are forms and additional items to bring when you visit our office:

• New Patient Packet
• Official photo ID (e.g., passport, driver’s license)
• Any imaging studies including x-ray films, CT scans and MRI scans from other groups or hospitals
• Insurance information and card
• Information about what treatments and medications have been used in the past
• Medical records from other visits that you think may be helpful

To view the forms listed above, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com.

If you have any questions, please feel free to contact us at any time. Again, thank you for choosing Cancer Care of Western New York.