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Before receiving care as a patient at NYU Langone, we ask that you review or sign several forms to make sure that you understand your rights and responsibilities.
Prior to your hospital stay or doctor’s visit, forms and notices you need to review or sign are posted in your NYU Langone Health MyChart account. If you are a patient at NYU Langone and do not have a MyChart account, you can create an account. We also recommend that you download the NYU Langone Health app to access your MyChart account from your mobile device.
Download the NYU Langone Health App on the App Store or Google Play.
You can read and sign forms in advance of your visit in order to expedite your check-in process.
Review the patient notices and information for the following types of visits:
You can request your medical records and share them with anyone you authorize, such as a healthcare professional, family member, or legal professional. Learn more about requesting your medical records.
You may be coming to NYU Langone for a doctor’s office appointment or for a hospital stay as an inpatient, outpatient, or for observation. The forms you need to fill out vary depending on the type of visit, which include the following:
During your first visit to an NYU Langone facility, including a hospital, care location, or doctor’s office where the NYU Langone logo is displayed, you need to read and sign the Patient Privacy and HIPAA Rights forms. This information, along with our Health Information Exchange Fact Sheet and Consent Form, is also available in multiple languages. Learn more about HIPAA patient privacy information.
For your safety, we use the PatientSecure® system. With biometric technology, the system scans a unique feature of your hand to simplify patient registration and provide the most accurate form of patient identification for future visits to NYU Langone.
People coming for an inpatient stay may need to review these notices and information:
We also provide inpatient forms in several languages, including Chinese, English, Haitian–Creole, Italian, Korean, Russian, and Spanish.
In addition, people coming for an outpatient visit need to review the following forms and information:
We also provide outpatient forms in several languages, including Chinese, English, Haitian–Creole, Italian, Korean, Russian, and Spanish.
People coming for an observation visit need to review the following notice:
If you are a patient who has not yet been to an NYU Langone doctor’s office, you can review the registration forms below in advance of your first office visit to help expedite the initial registration process.
Please call your doctor’s office if you have questions about the forms.
Review these additional forms that you may need during the course of your treatment at NYU Langone:
We can help you find a Hassenfeld Children’s Hospital doctor.
Call 646-929-7970
or
browse our specialists.