Primary Care NJ Harvey R. Gross, MD, PC


We gladly accept new patients. Below is a link to our patient Registration form which can be downloaded and printed for your convenience. Please fill out the form or arrive 10 minutes early to fill out the form during your visit. In order for us to provide you with a comprehensive and complete medical care, it is important that we have your medical information. Please be prepared to provide this information to our office along with your current medical insurance card. You may download a copy of our Medical Release Authorization form to request your medical records from your previous physician. If you have any questions about the forms, our staff will assist you with your questions on the day of your visit.

New Patient Registration Form	HIPAA Notice of Privacy Practices


PM&R Consultation/Evaluation New Patient Information Form	Review of Systems Form


Medical Records Release Form (We request records from previous MD)	Medical Records Release Form (We send records to another MD)

Confidentiality All of your medical records and communications are completely confidential and may be released to a third party only with your written permission.