CHSOS Forms

If you are a new Patient with Christian Health Service of Syracuse or if you need to update your information with a new form, you can print the form here.

Our Payment Policy form covers our policies on insurance, claims, services, appointments, and more. You can print this form here.

Christian Health Service of Syracuse offers completion of forms as an added service to patients. It is our policy, starting on November 2, 2020, to collect a fee for these forms since it requires staff time and supplies to complete them accurately.

Christian Health Service of Syracuse may not use or disclose information, except as provided in our Notice of Privacy Practices, without your authorization.

Christian Health Service of Syracuse may not use or disclose information, except as provided in our Notice of Privacy Practices, without your authorization.

This is a form for patients to complete and send to us when they want to transfer records from us to a new practice or one of their specialists.