Patient Forms & Policies
Whether you’re a new patient preparing for your first visit or a returning patient looking to update your medical information, you’ll find a full range of useful forms and policy documents below. If you need help finding additional information or have questions about any form, call UBMD Orthopaedics & Sports Medicine today at 716.204.3200.
New Patient Packet - Adult
New Patient Packet - Pediatric
Ages 17 and under
Patient Financial Policy
Information Release Form
Workers' Compensation/No Fault Paperwork
General Information & Policies
Medical History Update Form
For established patients to update their medical records with UBMD Orthopaedics & Sports Medicine.
Notice of Privacy Practices
This notice describes how medical information about you may be used and disclosed, and how you can get access to this information.
Surprise Billing Disclosure Notice
This notice outlines your protection from balance billing when you get emergency care or treated by an out-of-network provider at an in-network hospital or ambulatory surgical center.