Find A Doc Data Sheet Form for Community Providers
The following document is provided for providers at Upstate University Hospital's Community Campus who are not employees to be included in the Find A Doctor system.
This file must be downloaded to your local computer and then printed or completed using Adobe Acrobat reader, then returned to the Medical Staff Services office at Upstate Medical University.
- Please click on the link below to download the form.
- Note the location that the form is being saved to on your computer.
- Navigate to that location and complete the form.
- When complete, please return the form to firstname.lastname@example.org.
- If mailing, please send form to
Upstate Medical University
750 East Adams Street
Syracuse, NY 13210
ATTN: Medical Staff Services