Rockland Thoracic & Vascular Associates, P.C.

For your convenience, the Patient Information Form can be accessed below so that you can fill it out prior to your appointment. Simply print out the form, fill out completely, and bring it with you to your appointment. You can also fax it to our offices. Be sure to use the fax number of the location you are visiting. Our offices are open 8 a.m. to 5 p.m. Monday to Friday to answer any questions.

• Patient Information Form
(click to download)

• Notice of Privacy Practices
(click to download)

Pomona Office FAX: (845) 362-1716

Goshen Office FAX: (845) 291-3936

NY-Presbyterian Hosp./Columbia Office FAX: (212) 305-3474

Pomona Office
5A Medical Park Drive, Pomona, NY 10970
(845) 362-0075

Goshen Office
70 Hatfield Lane, Suite 202, Goshen, NY 10924
(845) 291-3656

New York-Presbyterian Hospital/Columbia Office
Irving Pavilion, Room 301
161 Fort Washington Avenue, New York, NY 10032
(212) 305-3408



			Forms
			For your convenience, the Patient Information Form can be accessed below so that you can fill it out prior to your appointment. Simply print out the form, fill out completely, and bring it with you to your appointment. You can also fax it to our offices. Be sure to use the fax number of the location you are visiting. Our offices are open 8 a.m. to 5 p.m. Monday to Friday to answer any questions. • Patient Information Form (click to download) • Notice of Privacy Practices (click to download) Pomona Office FAX: (845) 362-1716 Goshen Office FAX: (845) 291-3936 NY-Presbyterian Hosp./Columbia Office FAX: (212) 305-3474 Pomona Office 5A Medical Park Drive, Pomona, NY 10970 (845) 362-0075 Goshen Office 70 Hatfield Lane, Suite 202, Goshen, NY 10924 (845) 291-3656 New York-Presbyterian Hospital/Columbia Office Irving Pavilion, Room 301 161 Fort Washington Avenue, New York, NY 10032 (212) 305-3408

home \| thoracic surgery \| vascular surgery \| endovascular surgery \| hospital affiliations \| testimonials vascular lab \| vein center \| center for vascular surgery \| about us \| forms \| contact us Rockland Thoracic and Vascular Associates P.C. 3 Convenient Locations: Pomona, NY . 845-362-0075 \| Goshen, NY . 845-291-3656 \| New York, NY . 212-305-3408 Serving the New York metropolitan area, Hudson Valley, Rockland County, Orange County, Westchester County, and New Jersey This site ©2011 The Rockford Group, Inc. All rights reserved.