Radiation Oncology Registration Forms
We are glad you chose Orange Regional Medical Center to receive your care. We will do everything we can to provide you with excellent service and ensure your health care needs are met.
Pre-registering for your treatment shortens the admissions process and saves you time. In order to pre-register successfully, you must have a scheduled appointment. If you do not have an appointment and would like to schedule one, please call 845-695-5999.
Please select the links below to access the forms necessary to pre-register. Print and complete the forms and bring with you the day of your scheduled appointment.
Radiation Oncology Registration Form
Authorization for the Release of Information (Release)
Authorization for the Release of Information (Receive)
Orange Regional Medical Center Financial Policy
Physician Professional Financial Policy