Medical Records Authorization Form
Designate and authorize specific healthcare providers to disclose and/or release your medical records and information.
Radiology Request Form
Authorize specific healthcare providers to release your original Radiology film studies.
New Patient Registration Form
Our online patient registration form helps expedite the registration of new patients, reduces the amount of paperwork necessary to add new patients and speeds the check-in process.
Patient Health History Form
Your medical history is important to your physician in obtaining information useful in formulating a diagnosis and providing the right medical care to you.
Health Care Proxy
Appoint an agent to make health care decisions in the event that you are incapable of executing such decisions.
Consent for Minors Form
General consent form for minors who are unable to be accompanied by a parent or guardian.
Travel Medicine Health Questionnaire
We are committed to helping travelers prepare for safe and healthy international travel.
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.
Patient Centered Medical Home
A medical home is a team-based approach that provides coordinated medical care and encourages patients to play an active role in their own health care.
MPG Financial Agreement
This policy establishes a responsibility for the prompt collection of patient charges to maintain the financial solvency of the Manhattan’s Physician Group.
Tired of playing phone tag? Now you can schedule appointments, review your latest test results and more anytime, anywhere through our easy-to-use online patient portal. It’s secure and confidential, and it gives you 24-hour access to your doctor.
Next time you visit Manhattan’s Physician Group, just ask for an enrollment token.
If you have a question, comment or suggestion you would like to share with us, we'd like to hear from you. Please send an email to firstname.lastname@example.org. Thank you.
For Appointments, contact 1-877-458-8674.
For Billing Inquiries, call 888-923-7028 (Option 2) or email email@example.com.
For Media Inquiries, call 917-510-2827 or email firstname.lastname@example.org.
For all other inquiries, call 917-510-2800 (Manhattan's Physician Group corporate office).