Request An Appointment

FormIn an effort to save you time in the waiting room, Dr. Kirkpatrick and Associates are providing new patients with our Patient History Form and Medical Records Release Form that you may need during your visit. Simply click a button below to download and print the form, fill it out and bring it with you to your appointment.

Please call us with any questions you may have!


Patient History   Medical Records Release



Accepting new patients at all locations! Appointment

Call to request an appointment today!


Utica (315) 732-1151

Herkimer (315) 866-3510