Patient Forms and Information

To transfer your records from PPGNY to another health facility, please fill out this form and mail or bring it to PPGNY.

Read PPGNY's Patient Bill of Rights in English and Spanish to find out about your legal rights as patients.

Planned Parenthood of Greater New York actively works toward being a multicultural, inclusive, and anti-racist organization where staff, patients, and community of all identities can thrive. 

Read PPGNY's HIPAA Privacy Policy to learn about our privacy practices concerning health information about our patients.

If you are a new patient of the Corning, Elmira, Hornell, Ithaca, or Watkins Glen health centers, please download the patient intake form at the link below, complete in advance, and bring to your visit.

You may have questions about what the election and/or the recent confirmation to the Supreme Court of the United States (SCOTUS) means for Planned Parenthood of Greater New York and our services.