OFFICE PERMANENTLY CLOSED EFFECTIVE 7-1-2026
If you are having a medical emergency call 911 immediately.
OFFICE PERMANENTLY CLOSED EFFECTIVE 7-1-2026
If you are having a medical emergency call 911 immediately.
If you are having a medical emergency call 911 immediately.
If you are having a medical emergency call 911 immediately.
Medical records remain confidential and are available to patients or their authorized representatives upon receipt of a completed, signed, HIPAA-compliant Authorization for Release of Medical Records form. INCOMPLETE OR ILLEGIBLE FORMS WILL NOT BE EXECUTED, SO PLEASE BE SURE ALL REQUIRED ITEMS ARE CLEAR, ON THE FORM AND PROPERLY SIGNED BY THE PATIENT.
You can access and download the Authorization for Release of Medical Records form here:
https://everettformanmd.com/patient-forms
Completed forms may be submitted to:
Email: recordsrequest@everettformanmd.com
Or by mail:
Everett Forman, M.D., P.C.
585 Troy-Schenectady Road
Latham, NY 12110
We will process requests as promptly as possible and, in accordance with applicable New York law, will fulfill the request, deny the request, or provide a status update within ten (10) days after receiving a completed authorization.
Charges for copies of medical records may apply in accordance with applicable federal and New York law.
Current fees include:
Record TypeFeePaper Copies Up to $0.75 per page
Electronic Copies (when available)$6.50 flat fee per request
Postage/ShippingActual cost, if mailed.
NOTE: You or the requesting representative will receive copies / Original medical records cannot be released.
If applicable, payment instructions and the total amount due will be provided after your request has been received and before records are released.
Accepted payment methods include:
For questions regarding medical records requests only, please email:
recordsrequest@everettformanmd.com
Please note that this email address is monitored solely for medical records requests. Medical questions, prescription requests, refill requests, prior authorization requests, appointment requests, and other healthcare inquiries cannot be accepted or processed.
VIEW THE FORMS HERE:
OFFICE CLOSED NOTICE:
Effective July 1, 2026, Dr. Everett Forman medical practice is permanently closed.
The practice no longer provides the following services:
If you require medical care, prescriptions, or ongoing treatment, please establish care with a new healthcare provider. If you are experiencing a medical emergency, call 911 or go to the nearest emergency department.
Thank you to all our patients over the years
Copyright © 2026 Everett Forman, PC - All Rights Reserved.
Tel: 518-785-6004