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This site provides information to patients communicated in their preferred language. Translation is available to ensure effective communication with patients whose primary language is not English.
INSTRUCTIONS
To access, first choose the appropriate facility, followed by the patient's preferred language contained in the drop box. To review the document click PDF . To print the document, select the document by checking the box to its left and then click print. An English version will also be provided upon printing as a reference. The patient must sign the document printed in the patient's preferred language. The Responsible Practitioner's Certification (in English) is to be signed on the document that the patient signs in the patient's preferred language. The English version along with the signed consent in the patient's preferred language are both placed in the medical record.
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Facility/Entity
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CCMC OF NEW YORK
DOLAN FAMILY HEALTH CENTER
GLEN COVE HOSPITAL
HUNTINGTON HOSPITAL
LENOX HEALTH - GREENWICH VILLAGE
LENOX HILL
LONG ISLAND JEWISH FOREST HILLS
LONG ISLAND JEWISH MEDICAL CENTER
LONG ISLAND JEWISH VALLEY STREAM
MANHATTAN EYE, EAR, AND THROAT HOSPITAL
MATHER HOSPITAL
NORTH SHORE UNIVERSITY HOSPITAL
NORTHERN WESTCHESTER HOSPITAL
NORTHWELL HEALTH
NORTHWELL HEALTH IMAGING
ORLIN & COHEN ORTHOPEDIC GROUP
ORZAC CENTER FOR REHABILITATION
PECONIC BAY MEDICAL CENTER
PHELPS HOSPITAL
PHYSICIAN PARTNERS
PLAINVIEW HOSPITAL
SOUTH OAKS HOSPITAL
SOUTH SHORE UNIVERSITY HOSPITAL
STATEN ISLAND UNIVERSITY HOSPITAL
STERN FAMILY CENTER FOR REHABILITATION
SYOSSET HOSPITAL
THE FEINSTEIN INSTITUTES FOR MEDICAL RESEARCH
THE ZUCKER HILLSIDE HOSPITAL
Northwell Health Imaging
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NORTHWELL HEALTH IMAGING - BAYSHORE
NORTHWELL HEALTH IMAGING - CENTER FOR ADVANCED MEDICINE
NORTHWELL HEALTH IMAGING - CROTON-ON-HUDSON
NORTHWELL HEALTH IMAGING - DOBBS FERRY
NORTHWELL HEALTH IMAGING - GARDEN CITY
NORTHWELL HEALTH IMAGING - GLEN COVE
NORTHWELL HEALTH IMAGING - GREAT NECK
NORTHWELL HEALTH IMAGING - GREAT SOUTH BAY
NORTHWELL HEALTH IMAGING - GREENWICH VILLAGE
NORTHWELL HEALTH IMAGING - GROSSMAN IMAGING
NORTHWELL HEALTH IMAGING - HUDSON YARDS IMAGING
NORTHWELL HEALTH IMAGING - MASSAPEQUA IMAGING
NORTHWELL HEALTH IMAGING - NORTH FORK
NORTHWELL HEALTH IMAGING - REGO PARK IMAGING
NORTHWELL HEALTH IMAGING - REICHERT FAMILY IMAGING
NORTHWELL HEALTH IMAGING - ROSETTA IMAGING
NORTHWELL HEALTH IMAGING - SMITHTOWN
NORTHWELL HEALTH IMAGING - SYOSSET
NORTHWELL HEALTH IMAGING - VERRAZANO IMAGING
NORTHWELL HEALTH IMAGING - YORKTOWN IMAGING
Language
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Albanian
Arabic
Bengali
Chinese (Simplified)
Chinese (Traditional)
English
Farsi
French
Greek
Haitian Creole
Hebrew
Hindi
Italian
Japanese
Korean
Polish
Portuguese
Punjabi
Russian
Spanish
Tagalog
Turkish
Urdu
Categories
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All
Consent
Visually Impaired
Clinical Documentation
Forms
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Document Number
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AFC.1002.00
AFC.1002.00vi
AFC.1003.02
AFC.1003.02vi
AFC.1004.00
AFC.1004.00vi
AFC.1007.00
AFC.1007.00vi
AFC.1008.00
AFC.1008.00vi
AFC.1009.00
AFC.1009.00vi
AFC.1010.00
AFC.1010.00vi
AFC.1018.00
AFC.1018.00vi
AFC.1019.02
AFC.1019.02vi
AFC.1020.01
AFC.1020.01vi
AFC.1021.00
AFC.1021.00vi
AFC.1022.00
AFC.1023.00
AFC.1023.00vi
AFC.1024.00
AFC.1024.00vi
AFC.1025.00
AFC.1025.00vi
AFC.2001.02
AFC.2001.02vi
AFC.2002.00
AFC.2002.00vi
AFC.2003.00
AFC.2003.00vi
AFC.2004.00
AFC.2004.00vi
AFC.2005.00
AFC.2005.00vi
AFC.2006.01
AFC.2006.01vi
AFC.2007.01
AFC.2007.01vi
AFC.2008.00
AFC.2008.00vi
AFC.2009.01
AFC.2009.01vi
AFC.2010.00
AFC.2010.00vi
AFC.2011.00
AFC.2011.00vi
AFC.2012.01
AFC.2012.01vi
AFC.2014.01
AFC.2014.01vi
AFC.2015.00
AFC.2015.00vi
AFC.2016.00
AFC.2016.00vi
AFC.2017.00
AFC.2017.00vi
AFC.2018.00
AFC.2018.00vi
AFC.2019.00
AFC.2019.00vi
AFC.2020.00
AFC.2020.00vi
AFC.2021.00
AFC.2021.00vi
AFC.2022.00
AFC.2022.00vi
AFC.2023.00
AFC.2023.00vi
AFC.2024.00
AFC.2024.00vi
AFC.2025.00
AFC.2025.00vi
AFC.2026.00
AFC.2026.00vi
AFC.2027.00
AFC.2027.00vi
AFC.2028.00
AFC.2028.00vi
AFC.2029.00
AFC.2029.00vi
AFC.2030.00
AFC.2030.00vi
AFC.2031.00
AFC.2031.00vi
AFC.2032.00
AFC.2032.00vi
AFC.2033.00
AFC.2033.00vi
AFC.2034.00
AFC.2034.00vi
AFC.2035.00
AFC.2035.00vi
AFC.2036.00
AFC.2036.00vi
AFC.2037.00
AFC.2037.00vi
AFC.2038.00
AFC.2038.00vi
AFC.2039.00
AFC.2039.00vi
AFC.2040.00
AFC.2040.00vi
AFC.2042.00
AFC.2042.00vi
AFC.2043.00
AFC.2043.00vi
AFC.2044.00
AFC.2044.00vi
AFC.2045.00
AFC.2045.00vi
AFC.2050.00
AFC.2051.00
AFC.2051.00vi
AFC.2052.00
AFC.2052.00vi
AFC.2053.00
AFC.2053.00vi
AFC.2054.00
AFC.2054.00vi
AFC.2055.00
AFC.2055.00vi
AFC.2056.00
AFC.2056.00vi
AFC.2057.00
AFC.2057.00vi
AFC.2058.00
AFC.2058.00vi
AFC.2059.00
AFC.2059.00vi
AFC.2060.00
AFC.2060.00vi
AFC.2061.00
AFC.2061.00vi
AFC.2062.00
AFC.2062.00vi
AFC.3003.00
AFC.3003.00vi
AFC.3004.00
AFC.3004.00vi
AFC.3005.00
AFC.3005.00vi
AFC.4001.01
AFC.4001.01vi
AFC.4002.00
AFC.4002.00vi
AFC.4003.00
AFC.4003.00vi
AFC.5001.01
AFC.5001.01vi
AFC.5002.00
AFC.5002.00vi
AFC.5003.01
AFC.5003.01vi
AFC.5004.00
AFC.5004.00vi
AFC.5005.00
AFC.5005.00vi
AFC.5006.00
AFC.5006.00vi
AFC.5008.00
AFC.5008.00vi
AFC.5009.00
AFC.5009.00vi
AFC.5010.00
AFC.5010.00vi
AFC.5012.00
AFC.5012.00vi
AFC.5013.00
AFC.5013.00vi
AFC.5014.00
AFC.5014.00vi
AFC.5015.00
AFC.5015.00vi
AFC.5016.00
AFC.5016.00vi
AFC.CANC.100.00
AFC.CANC.100.00vi
AFC.CARD.001.00
AFC.CARD.001.00vi
AFC.DERM.001.00
AFC.DERM.002.00
AFC.DERM.003.00
AFC.DERM.004.00
AFC.DM.001.02
AFC.DM.001.02vi
AFC.DM.002.01
AFC.DM.002.01vi
AFC.DM.003.02
AFC.DM.004.00
AFC.DM.004.00vi
AFC.DM.005.00
AFC.DM.006.00
AFC.DM.007.00
AFC.DM.008.00
AFC.DM.009.00
AFC.DM.010.00
AFC.DM.010.00vi
AFC.DM.011.00
AFC.DM.011.00vi
AFC.DM.012.00
AFC.DM.012.00vi
AFC.MED.001.00
AFC.MED.001.00vi
AFC.MED.002.00
AFC.MED.002.00vi
AFC.OBGYN.001.00
AFC.OBGYN.001.00vi
AFC.OBGYN.002.00
AFC.OBGYN.002.00vi
AFC.PEDS.001.01
AFC.PEDS.001.01vi
AFC.SLEEP.001.00
AFC.SURG.001.01
AFC.SURG.001.01vi
AFC.URO.003.00
AFC.URO.003.00vi
AFC.URO.004.00
AFC.URO.004.00vi
AFC.URO.100.00
AFC.URO.100.00vi
PD001
PD001vi
PD02
PD02vi
PD03
PD03vi
PD04
PD04vi
PHQ2
PHQ2vi
PHQ9
PHQ9vi
VDNHBR01
VDNHBR01vi
VDNHBR02
VDNHBR02vi
VDNHBR03
VDNHBR03vi
VDNHBR04
VDNHBR04vi
VDNHBR05
VDNHBR05vi
Document Title
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Adult Activity Clearence
Adult Congenital Heart Disease Clinic
Adult Proxy Request Form
Advanced Care Planning
Agreement for Use of Controlled Substance Medication(s)
Allergy and Immunology
Allergy and Immunology - Pediatrics
Are You Here for a Comprehensive Physical Exam Also Known as an Annual Preventive Wellness Visit or Medicare Annual Wellness Visit
Assent for Adult Subject with a Legally Authorized Representative
Assent for Minor Participation in Research (7-17 years old [less than 18 years of age])
At Home Sleep Study Consent and Equipment Release Form
Bariatric Surgery
Behavioral Health Adult
Behavioral Health Child
Behavioral Health - Adult Veteran Intake
Behavioral Health - Child Veteran Intake
Breast Surgery
Cancer Institute Medical Oncology
Cancer Institute Radiation Medicine
Cardiac Surgery
CART
Child Advocacy Center - Consent to Treatment
Clinical Appointment Policy for Dental Medicine
Clinical Care Team Form
Colorectal Surgery
Concussion Program - New Patient
Concussion Program - Return Patient
Consent For Botulinum Toxin ("Botox") Treatment
Consent for Clear+ Brilliant Treatment
Consent for Cryopreservation of Oocytes (Eggs) Process and Risks
Consent for Cryostorage and Disposition of Embryos
Consent for FraxelŽ Dual 1550/1927 Laser Treatment
Consent for Frozen Embryo Thawing and Transfer
Consent for In Vitro Fertilization (IVF) Process and Risks
Consent for Intrauterine Insemination (IUI) With or Without Use of Ovulation Induction
Consent for Microneedling
Consent for Platelet Rich Plasma (PRP) Treatment for Hair Loss
Consent For Remote Physiologic Monitoring (RPM)
Dental Implants Post-Surgical Instructions
Dental Medicine - Adult Intake Form
Dental Medicine - Consent to Treatment
Dental Medicine - Pediatric Intake Form
Dental Medicine - Registration Form
Dental Treatment in the Cohen Childrens Medical Center Operating Room
Diabetes Assessment
Electrophysiology Remote Monitoring Acknowledgment of Patient Responsibility
Family Planning
Fertility
Fetal Echocardiography
General Pediatrics
Geriatric Assessment
Geriatrics
Hyperbaric Oxygen Therapy (HBOT) Patient Orientation Form
Hyperbaric Oxygen Therapy Consent
Important Information Regarding Your Imaging Study
Informed Consent for Chronic Care Management
Informed Consent for Dermal Filler Injection
Informed Consent for Kybella Injection
Informed Consent for Nasoalveolar Molding (NAM) Therapy
Informed Consent for Sculptra Injection
Infusion Consent Form (Including Immunotherapy, Biologics, Biosimilars And Other Infusion Drugs)
Iodinated Contrast and Thyroid Function Information Sheet
Maternal Fetal Medicine
Medicare Secondary Payer Questionnaire (MSPQ)
Medicare Shared Savings Program Accountable Care Organizations
Methotrexate Administration Consent
Methotrexate Patient Information Sheet
Minor Proxy Request Form - (Under 13)
My Allergies and Medications
My Allergies and Medications - Pediatrics
My Medical Profile
My Medical Profile Pediatrics
Neurology - Migraine Disability Assessment (MIDAS)
Neurology - Parkinsons Disease Medication Chart
Neurology - Parkinsons Disease NMS Questionnaire
Neurology - Return Patient
Neurosurgery
No Fault Insurance Form
Northwell Breast Wellness and Cancer Prevention Program Personalized Risk Reduction Plan
Northwell Health Biospecimen Repository (NHBR) Consent for Participation in a Research Study
Northwell Health Biospecimen Repository (NHBR) Consent for Participation in a Research Study (UPDATEitional Samples)
Northwell Health Biospecimen Repository (NHBR) Global Questionnaire
Northwell Health Physician Partners Fax Cover Sheet Confidential Patient Information
Northwell Health Proxy Request And Authorization Form For Access to FollowMyHealth Patient Portal Minor Consent (Under 13)
Nutrition Assessment Form - Adults Only
Nutrition Health History Form
Obstetrics-Gynecology
Orthopaedic Institute
Patient Equipment Release Form
Patient Health Questionnaire-2
Patient Health Questionnaire-9
Patient Portal Acknowledgement Form
Payment Plan Agreement for Comprehensive Orthodontic Treatment
Pediatric Activity Clearence
Pediatric Cardiology
Pediatric Endocrinology
Pediatric Endocrinology - Diabetes Transfer Intake
Pediatric Gastroenterology
Pediatric Initial Nutrition Assessment
Pediatric Pulmonology and Cystic Fibrosis Center
Pediatric Rheumatology
Pediatric Urology
Pharmacy Intake Form
Physical Medicine and Rehabilitation - New Patient
Physical Medicine and Rehabilitation - Pediatric Physiatry
Physical Medicine and Rehabilitation - Return Patient
Plan of Safe Care (POSC)
Post-Oral Surgical Instructions for Adult Patients
Post-Sedation Instructions for Pediatric Patients
Post-Tooth Extraction Instructions for Pediatric Patients
Proxy Request Form - Ages 13-17
Pulmonary Medicine
Registration Form
Rheumatology
Surgical Oncology
Surgical Oncology - Genetic Testing
Thoracic Surgery
Transplant Surgery - Post-Operative
Transplant Surgery - Pre-Operative
Urogynecology
Urology
Urology - Assigned Female at Birth
Urology - Assigned Male at Birth
Urology - AUA Symptom and IPSS Score
Urology - Female Genitourinary Pain Index
Urology - Male Genitourinary Pain Index
Urology - Stone Clinic Assessment
Worker's Compensation Form
Workers Comp and No Fault Insurance Questionnaire
Wound Care Intake Form
Document Title
-- SELECT --
Adult Activity Clearence
Adult Congenital Heart Disease Clinic
Adult Proxy Request Form
Advanced Care Planning
Agreement for Use of Controlled Substance Medication(s)
Allergy and Immunology
Allergy and Immunology - Pediatrics
Are You Here for a Comprehensive Physical Exam Also Known as an Annual Preventive Wellness Visit or Medicare Annual Wellness Visit
Assent for Adult Subject with a Legally Authorized Representative
Assent for Minor Participation in Research (7-17 years old [less than 18 years of age])
Bariatric Surgery
Behavioral Health Adult
Behavioral Health Child
Behavioral Health - Adult Veteran Intake
Behavioral Health - Child Veteran Intake
Breast Surgery
Cancer Institute Medical Oncology
Cancer Institute Radiation Medicine
Cardiac Surgery
CART
Child Advocacy Center - Consent to Treatment
Clinical Appointment Policy for Dental Medicine
Clinical Care Team Form
Colorectal Surgery
Concussion Program - New Patient
Concussion Program - Return Patient
Consent For Botulinum Toxin ("Botox") Treatment
Consent for Cryopreservation of Oocytes (Eggs) Process and Risks
Consent for Frozen Embryo Thawing and Transfer
Consent for In Vitro Fertilization (IVF) Process and Risks
Consent for Intrauterine Insemination (IUI) With or Without Use of Ovulation Induction
Consent For Remote Physiologic Monitoring (RPM)
Dental Medicine - Adult Intake Form
Dental Medicine - Consent to Treatment
Dental Medicine - Pediatric Intake Form
Dental Medicine - Registration Form
Diabetes Assessment
Electrophysiology Remote Monitoring Acknowledgment of Patient Responsibility
Family Planning
Fertility
Fetal Echocardiography
General Pediatrics
Geriatric Assessment
Geriatrics
Hyperbaric Oxygen Therapy (HBOT) Patient Orientation Form
Hyperbaric Oxygen Therapy Consent
Important Information Regarding Your Imaging Study
Informed Consent for Chronic Care Management
Informed Consent for Dermal Filler Injection
Informed Consent for Kybella Injection
Informed Consent for Sculptra Injection
Infusion Consent Form (Including Immunotherapy, Biologics, Biosimilars And Other Infusion Drugs)
Iodinated Contrast and Thyroid Function Information Sheet
Maternal Fetal Medicine
Medicare Secondary Payer Questionnaire (MSPQ)
Medicare Shared Savings Program Accountable Care Organizations
Methotrexate Administration Consent
Methotrexate Patient Information Sheet
Minor Proxy Request Form - (Under 13)
My Allergies and Medications
My Allergies and Medications - Pediatrics
My Medical Profile
My Medical Profile Pediatrics
Neurology - Migraine Disability Assessment (MIDAS)
Neurology - Parkinsons Disease Medication Chart
Neurology - Parkinsons Disease NMS Questionnaire
Neurology - Return Patient
Neurosurgery
No Fault Insurance Form
Northwell Breast Wellness and Cancer Prevention Program Personalized Risk Reduction Plan
Northwell Health Biospecimen Repository (NHBR) Consent for Participation in a Research Study
Northwell Health Biospecimen Repository (NHBR) Consent for Participation in a Research Study (UPDATEitional Samples)
Northwell Health Biospecimen Repository (NHBR) Global Questionnaire
Northwell Health Physician Partners Fax Cover Sheet Confidential Patient Information
Northwell Health Proxy Request And Authorization Form For Access to FollowMyHealth Patient Portal Minor Consent (Under 13)
Nutrition Assessment Form - Adults Only
Nutrition Health History Form
Obstetrics-Gynecology
Orthopaedic Institute
Patient Equipment Release Form
Patient Health Questionnaire-2
Patient Health Questionnaire-9
Patient Portal Acknowledgement Form
Payment Plan Agreement for Comprehensive Orthodontic Treatment
Pediatric Activity Clearence
Pediatric Cardiology
Pediatric Endocrinology
Pediatric Endocrinology - Diabetes Transfer Intake
Pediatric Gastroenterology
Pediatric Initial Nutrition Assessment
Pediatric Pulmonology and Cystic Fibrosis Center
Pediatric Rheumatology
Pediatric Urology
Pharmacy Intake Form
Physical Medicine and Rehabilitation - New Patient
Physical Medicine and Rehabilitation - Pediatric Physiatry
Physical Medicine and Rehabilitation - Return Patient
Plan of Safe Care (POSC)
Proxy Request Form - Ages 13-17
Pulmonary Medicine
Rheumatology
Surgical Oncology
Surgical Oncology - Genetic Testing
Thoracic Surgery
Transplant Surgery - Post-Operative
Transplant Surgery - Pre-Operative
Urogynecology
Urology
Urology - Assigned Female at Birth
Urology - Assigned Male at Birth
Urology - AUA Symptom and IPSS Score
Urology - Female Genitourinary Pain Index
Urology - Male Genitourinary Pain Index
Urology - Stone Clinic Assessment
Worker's Compensation Form
Workers Comp and No Fault Insurance Questionnaire
Wound Care Intake Form
Document Title
-- SELECT --
Adult Activity Clearence
Adult Congenital Heart Disease Clinic
Adult Proxy Request Form
Advanced Care Planning
Allergy and Immunology
Allergy and Immunology - Pediatrics
Are You Here for a Comprehensive Physical Exam Also Known as an Annual Preventive Wellness Visit or Medicare Annual Wellness Visit
Bariatric Surgery
Behavioral Health Adult
Behavioral Health Child
Behavioral Health - Adult Veteran Intake
Behavioral Health - Child Veteran Intake
Breast Surgery
Cancer Institute Medical Oncology
Cancer Institute Radiation Medicine
Cardiac Surgery
CART
Clinical Appointment Policy for Dental Medicine
Clinical Care Team Form
Colorectal Surgery
Concussion Program - New Patient
Concussion Program - Return Patient
Dental Implants Post-Surgical Instructions
Dental Medicine - Adult Intake Form
Dental Medicine - Pediatric Intake Form
Dental Medicine - Registration Form
Dental Treatment in the Cohen Childrens Medical Center Operating Room
Diabetes Assessment
Electrophysiology Remote Monitoring Acknowledgment of Patient Responsibility
Family Planning
Fertility
Fetal Echocardiography
General Pediatrics
Geriatric Assessment
Geriatrics
Hyperbaric Oxygen Therapy (HBOT) Patient Orientation Form
Important Information Regarding Your Imaging Study
Iodinated Contrast and Thyroid Function Information Sheet
Maternal Fetal Medicine
Medicare Secondary Payer Questionnaire (MSPQ)
Medicare Shared Savings Program Accountable Care Organizations
Methotrexate Patient Information Sheet
Minor Proxy Request Form - (Under 13)
My Allergies and Medications
My Allergies and Medications - Pediatrics
My Medical Profile
My Medical Profile Pediatrics
Neurology - Migraine Disability Assessment (MIDAS)
Neurology - Parkinsons Disease Medication Chart
Neurology - Parkinsons Disease NMS Questionnaire
Neurology - Return Patient
Neurosurgery
No Fault Insurance Form
Northwell Breast Wellness and Cancer Prevention Program Personalized Risk Reduction Plan
Northwell Health Physician Partners Fax Cover Sheet Confidential Patient Information
Northwell Health Proxy Request And Authorization Form For Access to FollowMyHealth Patient Portal Minor Consent (Under 13)
Nutrition Assessment Form - Adults Only
Nutrition Health History Form
Obstetrics-Gynecology
Orthopaedic Institute
Patient Equipment Release Form
Patient Health Questionnaire-2
Patient Health Questionnaire-9
Patient Portal Acknowledgement Form
Pediatric Activity Clearence
Pediatric Cardiology
Pediatric Endocrinology
Pediatric Endocrinology - Diabetes Transfer Intake
Pediatric Gastroenterology
Pediatric Initial Nutrition Assessment
Pediatric Pulmonology and Cystic Fibrosis Center
Pediatric Rheumatology
Pediatric Urology
Pharmacy Intake Form
Physical Medicine and Rehabilitation - New Patient
Physical Medicine and Rehabilitation - Pediatric Physiatry
Physical Medicine and Rehabilitation - Return Patient
Plan of Safe Care (POSC)
Post-Oral Surgical Instructions for Adult Patients
Post-Sedation Instructions for Pediatric Patients
Post-Tooth Extraction Instructions for Pediatric Patients
Proxy Request Form - Ages 13-17
Pulmonary Medicine
Registration Form
Rheumatology
Surgical Oncology
Surgical Oncology - Genetic Testing
Thoracic Surgery
Transplant Surgery - Post-Operative
Transplant Surgery - Pre-Operative
Urogynecology
Urology
Urology - Assigned Female at Birth
Urology - Assigned Male at Birth
Urology - AUA Symptom and IPSS Score
Urology - Female Genitourinary Pain Index
Urology - Male Genitourinary Pain Index
Urology - Stone Clinic Assessment
Worker's Compensation Form
Workers Comp and No Fault Insurance Questionnaire
Wound Care Intake Form
Document Title
-- SELECT --
Agreement for Use of Controlled Substance Medication(s)
Assent for Adult Subject with a Legally Authorized Representative
Assent for Minor Participation in Research (7-17 years old [less than 18 years of age])
At Home Sleep Study Consent and Equipment Release Form
Child Advocacy Center - Consent to Treatment
Consent For Botulinum Toxin ("Botox") Treatment
Consent for Clear+ Brilliant Treatment
Consent for Cryopreservation of Oocytes (Eggs) Process and Risks
Consent for Cryostorage and Disposition of Embryos
Consent for FraxelŽ Dual 1550/1927 Laser Treatment
Consent for Frozen Embryo Thawing and Transfer
Consent for In Vitro Fertilization (IVF) Process and Risks
Consent for Intrauterine Insemination (IUI) With or Without Use of Ovulation Induction
Consent for Microneedling
Consent for Platelet Rich Plasma (PRP) Treatment for Hair Loss
Consent For Remote Physiologic Monitoring (RPM)
Dental Medicine - Consent to Treatment
Hyperbaric Oxygen Therapy Consent
Informed Consent for Chronic Care Management
Informed Consent for Dermal Filler Injection
Informed Consent for Kybella Injection
Informed Consent for Nasoalveolar Molding (NAM) Therapy
Informed Consent for Sculptra Injection
Infusion Consent Form (Including Immunotherapy, Biologics, Biosimilars And Other Infusion Drugs)
Methotrexate Administration Consent
Northwell Health Biospecimen Repository (NHBR) Consent for Participation in a Research Study
Northwell Health Biospecimen Repository (NHBR) Consent for Participation in a Research Study (UPDATEitional Samples)
Northwell Health Biospecimen Repository (NHBR) Global Questionnaire
Payment Plan Agreement for Comprehensive Orthodontic Treatment
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