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Contact Info

920 Lark Drive,
Albany, NY 12207
518-465-4771
info@wmyhealth.org

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Frequently Used Forms

WYH Patient Welcome Packet 2020
Registration Form - Fillable
Whitney on Wheels - CHILD Registration Form
School-Based Health Center Registration
WIC Forms
Release of Medical Information - From WYH to Patient or Outside Provider
Release of Dental Information - From WYH to Patient or Outside Provider
Release of Medical Information - From Outside Provider to WYH
Sliding Fee Scale Discount Application
Travel Immunizations Packet
Dental Services Medical History
Advance Directive Forms

Common Links

Board Portal
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Employee Email
Employee Portal
Forms
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Whitney M. Young, Jr. Health Center’s Mission is to provide access to consistent quality healthcare without regard to income.

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