Patient Forms

We ask that all new Alvin & Lois Lapidus Cancer Institute patients print and complete the appropriate forms prior to their first appointment, if possible. Please contact us if you are unable to complete the forms or need assistance.

NEW PATIENT FORMS FOR INDIVIDUAL SPECIALTIES/PHYSICIAN OFFICES

New patients should complete only the forms your physician's office has indicated:

Division of Orthopedic Oncology/The Comprehensive Bone and Soft Tissue Tumor Program
Associate Physician Form

Division of Medical Oncology/Hematology
(Drs. Martinez, Miller and Gorbaty's Offices)
New Patient Health History

NEW PATIENT FORMS FOR ALL SPECIALTIES/PHYSICIAN OFFICES

All new patients should complete all of the forms below:

Patient Privacy Forms
LifeBridge Health HIPAA Notice of Privacy Practices Form
LifeBridge Health HIPAA Notice of Privacy Practices - Acknowledgment of Receipt Form
Authorization for Release of Medical Information Form
Authorization of Patient Contact Form

Advance Directive Forms
Maryland Advance Directive: Planning for Future Health Care Decisions Form
LifeBridge Health Advance Directive Form
'Did You Remember To' Instruction Sheet

INTERACTIVE MAPS AND DRIVING DIRECTIONS

SINAI HOSPITAL
NORTHWEST HOSPITAL