For your convenience, we have provided you with the forms below that you will need for your medical appointment. If you are a new patient to Dr. Tartaglia`s Family Medicine, you can print out and complete these forms before your appointment and bring them with you.  

You can also fax them back to our office to our secure fax, 914-245-2290.

 

Click on the icon next to the form description to downoad it to your computer.

 

Informed Consent for Trigger Point Injection

Medicare Wellness Form

Headache Questionnaire

DOT Physical

Follow My Health

Demographic Information