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Patient Information & Forms

To schedule an appointment with St. Joseph’s Physicians Surgical Services, please call one of our locations during normal business hours and a patient services representative will be happy to help you.

St. Joseph’s Physicians Surgical Services – Liverpool
Mon.- Fri.: 8:00 AM – 5:00 PM

St. Joseph’s Physicians Surgical Services – Fayetteville
Mon.- Fri.: 8:00 AM – 5:00 PM


Please use the links below for forms you may need to complete prior to your visit with us. Please call the office with any questions and we would be glad to assist you.

Anesthesia Information Sheet  -  Anesthesia information

Pre-Admission Testing Information  -  Pre-Admission Testing Information - directions

Dr Wormuth ONLY New Patient Paperwork  -  Dr Wormuth's new patients need to fill out this form (includes demographic and medical history information)

Patient Surgery Information Sheet  -  What to expect prior to an upcoming surgery

New York State Health Care Proxy  -  This form allows you to appoint someone you trust to make health care decisions for you if you lose the ability to make decisions for yourself.

New Patient Paperwork  -  New patient form, including medical history.

Financial Assistance Application

Medical Records Release Form

Notice of Privacy Practices

Patient Portal Access

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
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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