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
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.