Advance Directives and Other Forms


Healthcare Proxy NYS DOH

Living Will

Do Not Resuscitate (DNR) NYS DOH

Organ & Tissue Donor Registry NYS DOH

Medical Orders for Life Sustaining Treatment (MOLST) Form / Link 2

Power of Attorney info

How to Make Your Wishes Known NYS OAG


Child Health Plus

Family Health Plus



Do I have the right to see my medical records? NYS DOH

SCHUYLER HOSPITAL Release / Transfer of Medical Records Form

Sample Letter – release of medical records

Parents Medical Release Form

Parents Emergency Contact Form


Emergency Medical Identification Card

Emergency Medical Form

SCHUYLER HOSPITAL Medication Reconciliation


NYS DOH Donor Registry

Power of Attorney

How to Make Your Wishes Known - NYS Office of Attorney General

Parents Emergency Contact Form


** NOTE: Schuyler Hospital does not endorse any of the companies referenced here. This is merely intended as a resource for our patients. **


For more information, contact Schuyler Hospital at (607) 535-7121 or This email address is being protected from spambots. You need JavaScript enabled to view it.


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