Accessibility Tools

Save time by completing the new patient form before you arrive at the office for your appointment. You can print the below paperwork for the designated office, fill it out and bring it with you.

Medical Record and Film Release Form

Provide permission and request that your medical records to be released to another facility or doctor. Please allow 5-7 days for processing. Note that a charge of $15 per x-ray copy is due at the time of release.

Media Release Form

A testimonial is a powerful indicator of success. When someone takes the time to recount a positive experience, it speaks volumes. Interested in sharing your ‘Patient Story’ with others? Please email: [javascript protected email address] to inquire and sign the release form giving us your permission.


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West Palm Beach Paley Institute
901 45th Street
Kimmel Building
West Palm Beach, FL 33401

New York, NY 30 E. 40th St.
Room 905
New York, NY 10016

Paley European Institute Medicover Hospital
Al. Rzeczpospolita 1
02-972 Warsaw Poland