Patient Forms
Daniel Cameron & Associates

Welcome to Daniel Cameron & Associates! As a first time patient we have made it easy for you by offering health related forms online. Please select the appropriate form(s), fill them out online and submit them 24-48 hours prior to your appointment. Your forms will be delivered directly to our office when you press done. By using this service your personal health information is protected. You will need a password to complete the forms online. You should have received a password when you made an appointment with our office. If you did not you may call us to receive the password at 914-666-4665.

If you’re unable to complete the forms online, you can access them for download at the bottom of this page.


CREDIT CARD AUTHORIZATION

NEW PATIENT FORMS

FOLLOW UP FORM

Downloadable Forms

If you’re not able to fill the forms out online, we’ve included them below. Click on the links below to download and print out these forms at home, where you can fill them out at your leisure and email them to Info@DanielCameronMD.com or fax them to 914-666-6271.

CREDIT CARD AUTHORIZATION
Download Patient Forms
Download Follow Up Form
About The Practice

About Dr. Daniel Cameron

Dr. Daniel Cameron & Associates is a private medical practice specializing in the diagnosis and treatment of Lyme disease and other tick-borne illnesses. We provide the highest quality of care with evidence-based treatment plans and are committed to improving the lives of patients suffering from Lyme and tick-borne diseases…learn more →

Patient Care Approach

Patient Care Approach

Dr. Daniel Cameron & Associates is dedicated to improving the lives and standard of care for patients suffering from Lyme disease and other tick-borne illnesses. Dr. Cameron, a board-certified internist and epidemiologist, has more than 25 years of experience diagnosing and treating Lyme disease in both adolescents and adults. learn more →

Hours and Location

Hours and Location

Dr. Cameron and Associates is 35 miles north of Manhattan in Westchester county, offering easy access from anywhere in the New York Metropolitan area by car or public transportation. The office is located at 657 East Main Street in Mt. Kisco, New York. learn more →