New Patients
Welcome to our Practice
Prior to beginning treatment at a Premier Medical Group office, we will need your registration and general history information. You may complete this information at your first visit, or at your convenience ahead of time, which we recommend.
- In the section below, you will find printable General Forms and Accident/No Fault/Injury Forms that you may complete at home and submit on-line or print at home, complete and bring with you to your first visit. Please complete the Patient Registration Information and General Health Information forms in their entirety.
- Be sure to bring your insurance card with you and have it available for the receptionist upon checking in. In addition, please obtain your referral authorization from your primary care or specialist physician prior to your first appointment.
- To help ensure a productive first visit, bring all previous X-Ray/MRI studies and reports, along with all medical records (office notes, surgery reports, etc.) pertaining to your injury or condition(s) with you to your first appointment.
- We ask that you notify us at least 24 hours in advance if you cannot keep your appointment.
If you have any questions, please contact the office location where your appointment is scheduled.
- Stamford: 203-325-8888
- West Harrison: 914-684-6113
Downloadable Forms/Interactive PDF Forms:
For more information or to make an appointment please call
1-877-233-WELL (9355).