Patient Information

Patient Information


At WESTMED you'll find highly qualified, committed physicians and staff and the choice of multiple office locations throughout central and southern Westchester County and Fairfield County. In caring for patients, our use of a state-of-the-art electronic medical record expedites communication with all those involved in their medical care. Our advanced systems and full-service approach help to ensure that patients receive coordinated, efficient and quality healthcare.

We have medical offices at 3030 Westchester Avenue, Purchase, NY, 210 Westchester Avenue, White Plains, NY, 1 Theall Road, Rye, NY, Ridge Hill, 73 Market Street, Yonkers, NY, 171 Huguenot Street, New Rochelle, NY and 644 Putnam Avenue in Greenwich, CT. A number of our offices provide full-service care, including primary and specialty care, radiology, lab, and urgent care. WESTMED's full-service approach and our partnerships with White Plains Hospital, Greenwich Hospital and Lawrence Hospital Center make us the complete resource for healthcare. 

In the event of inclement weather, WESTMED has a Patient Weather Advisory hotline. That phone number is 914-682-6535. 


PATIENT FORMS

Accounting of Disclosures Request Form
Amendment of Protected Health Information Request Form
Authorization for the Release of Medical Information (English)
Authorization for the Release of Medical Information (Spanish)
Authorization to Communicate Protected Health Information (English)
Diagnostic Test Form
Health Problem Form
Medical Information Request Form
New York State Health Care Proxy Form (English)
New York State Health Care Proxy Form (Spanish)
Request for Alternative Communications
Request to Restrict Uses and Disclosures of Protected Health Information
Request to Restrict Uses and Disclosures of Protected Health Information to Health Insurance Plans
Revocation of Authorization to Communicate Protected Health Information
WESTMED Online Family Access Adult Form
Connecticut Advance Directive