Documents and Downloads

documents and downloads

On this page, you will find many different forms and documents that can help you prepare for your visit with Cayuga Family Medicine nurses and doctors.  Ithaca, NY residents, patients of our facility can download all of this information at no cost and keep copies for their own files.  Thank you for choosing us for your healthcare for life!

Just click on the links to access downloadable documents.

CFM Forms

CFM Initial Info Form Children June 2017

CFM Initial Info Form Adults April 2017

Motor Vehicles No Fault Form

HIPAA NYS Release of Info

Health Care Proxy

CFM Surveys

CFM Survey for Youth Patients

CFM Survey for Adult Patients

CDC Important Information

CDC 2018 Recommended Immunization Schedules (please note that these immunization records were created by the CDC for the 2018 calendar year.  For the most up-to-date information, please visit the CDC website.)

 

CFM Infographics

How To Pay Your Bill Online

Participating Insurances

Tick: What to Do

Policies & Procedures

What Is a Patient Centered Facility

Our Physicians

Our Nurse Practitioners