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Patient Forms

Request a copy of your medical record
If you would like a copy of your medical record, please click here to download a Medical Release Form. Submit the completed release form to your doctor’s office or the facility that holds your records. We cannot provide medical records based on an email or online form.

Release of Private Medical Information to a Third Party
Complete this form if you would like St. Joseph's Physicians to release your PMI to another person. Submit the completed release form to your doctor’s office or email to

Health Care Proxy
Complete this form to appoint someone you trust to make health care decisions for you if you lose the ability to make decisions yourself. Appointing a health care agent ensures that your wishes will be followed.

NYS Department of Health Nonhospital Order to not Resuscitate

Urgent Care Locations

St. Joseph's Physicians in Liverpool
5100 West Taft Road
Liverpool, NY 13088

St. Joseph's Physicians in Fayetteville
4100 Medical Center Drive
Fayetteville, NY 13066

Patient Satisfaction Hotline

Patient Feedback Survey
Help us serve you better by telling us about your experience with this brief online survey.

Take the Survey

Contact St. Joseph's Physicians

Family Medicine, Liverpool: 315.452.2828
Family Medicine, Fayetteville: 315.637.7878
Family Medicine, Radisson: 315.652.1325
Family Medicine, Heritage Group,
Fayetteville: 315.663.0059
Family Medicine, Heritage Group,
Cazenovia: 315.655.8171
Internal Medicine, Syracuse: 315.474.0542
Surgical Services, Liverpool: 315.634.3399
Surgical Services, Fayetteville: 315.632.3300