This page contains a library of information that will be helpful when you come to a Westchester Medical Center Health Network (WMCHealth) hospital, surgical center, or provider’s office for your medical care.
The documents in this library may not apply to all patients in all circumstances. Please carefully read the topics listed on the web page. When you select the topic you need to learn about, more options will appear, including documents you may need to read or sign.
Your health care team is the best source of information on preparing for a treatment, test, or procedure. They may ask you to review materials on this page and/or give you other information that you will need to read and understand.
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- Acknowledgement of Credit Card Risk for Payment of Medical Services | Bon Secours Community Hospital | English
- Acknowledgement of Credit Card Risk for Payment of Medical Services | Bon Secours Community Hospital | Spanish
- Care Act: Access to Protected Health Information Authorization | Bon Secours Community Hospital | English
- Care Act: Access to Protected Health Information Authorization | Bon Secours Community Hospital | Spanish
- DOH NYS Uniform HFAL Application | Bon Secours Community Hospital | English
- DOH NYS Uniform HFAL Application | Bon Secours Community Hospital | Spanish
- Federal Bill Impact Consumer Fact Sheet – 6-2025-2
- Financial Assistance Policy | Bon Secours Community Hospital
- General Consent For Treatment | Bon Secours Community Hospital | English
- General Consent For Treatment | Bon Secours Community Hospital | Spanish
- HIE: Authorization for Access to Patient Information Through Health Information Exchange Organizations | Bon Secours Community Hospital | English
- HIE: Authorization for Access to Patient Information Through Health Information Exchange Organizations | Bon Secours Community Hospital | Spanish
- Important Message from Medicare | Bon Secours Community Hospital | English
- Important Message from Medicare | Bon Secours Community Hospital | Spanish
- Notice of Non-Discrimination | Bon Secours Community Hospital | English
- Notice of Non-Discrimination | Bon Secours Community Hospital | Spanish
- Notice of Privacy Practice | Bon Secours Community Hospital | English
- Notice of Privacy Practice | Bon Secours Community Hospital | Spanish
- NYS External Appeal | Bon Secours Community Hospital | English
- NYS External Appeal | Bon Secours Community Hospital | Spanish
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- Acknowledgement of Credit Card Risk for Payment of Medical Services | Good Samaritan Hospital | English
- Acknowledgement of Credit Card Risk for Payment of Medical Services | Good Samaritan Hospital | Spanish
- Care Act: Access to Protected Health Information Authorization | Good Samaritan Hospital | English
- Care Act: Access to Protected Health Information Authorization | Good Samaritan Hospital | Spanish
- DOH NYS Uniform HFAL Application | Good Samaritan Hospital | English
- DOH NYS Uniform HFAL Application | Good Samaritan Hospital | Spanish
- Federal Bill Impact Consumer Fact Sheet – 6-2025-2
- Financial Assistance Policy | Good Samaritan Hospital
- General Consent For Treatment | Good Samaritan Hospital | English
- General Consent For Treatment | Good Samaritan Hospital | Spanish
- HIE: Authorization for Access to Patient Information Through Health Information Exchange Organizations | Good Samaritan Hospital | English
- HIE: Authorization for Access to Patient Information Through Health Information Exchange Organizations | Good Samaritan Hospital | Spanish
- Important Message from Medicare | Good Samaritan Hospital | English
- Important Message from Medicare | Good Samaritan Hospital | Spanish
- Notice of Non-Discrimination | Good Samaritan Hospital | English
- Notice of Non-Discrimination | Good Samaritan Hospital | Spanish
- Notice of Privacy Practice | Good Samaritan Hospital | English
- Notice of Privacy Practice | Good Samaritan Hospital | Spanish
- NYS External Appeal | Good Samaritan Hospital | English
- NYS External Appeal | Good Samaritan Hospital | Spanish
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- Acknowledgement of Credit Card Risk for Payment of Medical Services | HealthAlliance Hospital | English
- Acknowledgement of Credit Card Risk for Payment of Medical Services | HealthAlliance Hospital | Spanish
- Care Act: Access to Protected Health Information Authorization | HealthAlliance Hospital | English
- Care Act: Access to Protected Health Information Authorization | HealthAlliance Hospital | Spanish
- DOH NYS Uniform HFAL Application | HealthAlliance Hospital | English
- DOH NYS Uniform HFAL Application | HealthAlliance Hospital | Spanish
- Financial Assistance Policy | HealthAlliance Hospital
- Follow My Health Patient Portal _ English & Spanish – HAHV
- General Consent For Treatment | HealthAlliance Hospital | English
- General Consent For Treatment | HealthAlliance Hospital | Spanish
- HIE: Authorization for Access to Patient Information Through Health Information Exchange Organizations | HealthAlliance Hospital | English
- HIE: Authorization for Access to Patient Information Through Health Information Exchange Organizations | HealthAlliance Hospital | Spanish
- Important Message from Medicare | HealthAlliance Hospital | English
- Important Message from Medicare | HealthAlliance Hospital | Spanish
- Notice of Non-Discrimination | HealthAlliance Hospital | English
- Notice of Non-Discrimination | HealthAlliance Hospital | Spanish
- Notice of Privacy Practice | HealthAlliance Hospital | English
- Notice of Privacy Practice | HealthAlliance Hospital | Spanish
- NYS External Appeal | HealthAlliance Hospital | English
- NYS External Appeal | HealthAlliance Hospital | Spanish
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- Acknowledgement of Credit Card Risk for Payment of Medical Services | MidHudson Regional Hospital | English
- Acknowledgement of Credit Card Risk for Payment of Medical Services | MidHudson Regional Hospital | Spanish
- Care Act: Access to Protected Health Information Authorization | MidHudson Regional Hospital | English
- Care Act: Access to Protected Health Information Authorization | MidHudson Regional Hospital | Spanish
- DOH NYS Uniform HFAL Application | MidHudson Regional Hospital | English
- DOH NYS Uniform HFAL Application | MidHudson Regional Hospital | Spanish
- Federal Bill Impact Consumer Fact Sheet – 6-2025-2
- Financial Assistance Policy | Westchester Medical Center & MidHudson Regional Hospital
- General Consent For Treatment | MidHudson Regional Hospital | English
- General Consent For Treatment | MidHudson Regional Hospital | Spanish
- HIE: Authorization for Access to Patient Information Through Health Information Exchange Organizations | MidHudson Regional Hospital | English
- HIE: Authorization for Access to Patient Information Through Health Information Exchange Organizations | MidHudson Regional Hospital | Spanish
- Important Message from Medicare | MidHudson Regional Hospital | English
- Important Message from Medicare | MidHudson Regional Hospital | Spanish
- Notice of Non-Discrimination | MidHudson Regional Hospital | English
- Notice of Non-Discrimination | MidHudson Regional Hospital | Spanish
- Notice of Privacy Practice | MidHudson Regional Hospital | English
- Notice of Privacy Practice | MidHudson Regional Hospital | Spanish
- NYS External Appeal | MidHudson Regional Hospital | English
- NYS External Appeal | MidHudson Regional Hospital | Spanish
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- Breastfeeding Mothers BOR-English
- Breastfeeding Mothers BOR-Spanish
- Financial Assistance Plain Language Summary | English
- Financial Assistance Plain Language Summary | Spanish
- Health Home Program | English & Spanish
- Help Us Serve You Better – Race & Ethnicity Questions | English
- Help Us Serve You Better – Race & Ethnicity Questions | Spanish
- Helpful Information for Our Patients | English & Spanish
- HIV Pamphlet | English & Spanish
- Interpreting Services Available
- Legal Health | English & Spanish
- Medicare Lifetime Reserve Days | English
- Medicare Lifetime Reserve Days | Spanish
- myCare Patient Portal Information | English & Spanish
- Next Step in Care | English
- Next Step in Care | Spanish
- Notice of Privacy Practice | English & Spanish
- NSA: Your Rights and Protections Against Surprise Medical Bills | English & Spanish
- NY State Parental BOR-English
- NY State Parental BOR-Spanish
- NYS Uniform Hospital Financial Assistance Application | English
- NYS Uniform Hospital Financial Assistance Application | Spanish
- Patients’ Bill of Rights | English
- Patients’ Bill of Rights | Spanish
- Telepsychiatry Information | English
- Telepsychiatry Information | Spanish
- Your Rights as a Hospital Patient in NYS Booklet | English
- Your Rights as a Hospital Patient in NYS Booklet | Spanish
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- Acknowledgement of Credit Card Risk for Payment of Medical Services | St. Anthony Community Hospital | English
- Acknowledgement of Credit Card Risk for Payment of Medical Services | St. Anthony Community Hospital | Spanish
- Care Act: Access to Protected Health Information Authorization | St. Anthony Community Hospital | English
- Care Act: Access to Protected Health Information Authorization | St. Anthony Community Hospital | Spanish
- DOH NYS Uniform HFAL Application | St. Anthony Community Hospital | English
- DOH NYS Uniform HFAL Application | St. Anthony Community Hospital | Spanish
- Federal Bill Impact Consumer Fact Sheet – 6-2025-2
- Financial Assistance Policy | St. Anthony Community Hospital
- General Consent For Treatment | St. Anthony Community Hospital | English
- General Consent For Treatment | St. Anthony Community Hospital | Spanish
- HIE: Authorization for Access to Patient Information Through Health Information Exchange Organizations | St. Anthony Community Hospital | English
- HIE: Authorization for Access to Patient Information Through Health Information Exchange Organizations | St. Anthony Community Hospital | Spanish
- Important Message from Medicare | St. Anthony Community Hospital | English
- Important Message from Medicare | St. Anthony Community Hospital | Spanish
- Notice of Non-Discrimination | St. Anthony Community Hospital | English
- Notice of Non-Discrimination | St. Anthony Community Hospital | Spanish
- Notice of Privacy Practice | St. Anthony Community Hospital | English
- Notice of Privacy Practice | St. Anthony Community Hospital | Spanish
- NYS External Appeal | St. Anthony Community Hospital | English
- NYS External Appeal | St. Anthony Community Hospital | Spanish
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- Acknowledgement of Credit Card Risk for Payment of Medical Services | Westchester Medical Center | English
- Acknowledgement of Credit Card Risk for Payment of Medical Services | Westchester Medical Center | Spanish
- Care Act: Access to Protected Health Information Authorization | Westchester Medical Center | English
- Care Act: Access to Protected Health Information Authorization | Westchester Medical Center | Spanish
- DOH NYS Uniform HFAL Application | Westchester Medical Center | English
- DOH NYS Uniform HFAL Application | Westchester Medical Center | Spanish
- Federal Bill Impact Consumer Fact Sheet – 6-2025-2
- Financial Assistance Policy | Westchester Medical Center & MidHudson Regional Hospital
- General Consent For Treatment | Westchester Medical Center | English
- General Consent For Treatment | Westchester Medical Center | Spanish
- HIE: Authorization for Access to Patient Information Through Health Information Exchange Organizations | Westchester Medical Center | English
- HIE: Authorization for Access to Patient Information Through Health Information Exchange Organizations | Westchester Medical Center | Spanish
- Important Message from Medicare | Westchester Medical Center | English
- Important Message from Medicare | Westchester Medical Center | Spanish
- Notice of Non-Discrimination | Westchester Medical Center | English
- Notice of Non-Discrimination | Westchester Medical Center | Spanish
- Notice of Privacy Practice | Westchester Medical Center | English
- Notice of Privacy Practice | Westchester Medical Center | Spanish
- NYS External Appeal | Westchester Medical Center | English
- NYS External Appeal | Westchester Medical Center | Spanish
- Paying for Your Care | Westchester Medical Center | English
- Paying for Your Care | Westchester Medical Center | Spanish
- WFE4767 – WMCHEALTH – Network Payer Negotiation and Contract Performance RFP