Face masks are still required to be worn while at the facility, even if you have been fully vaccinated. Thank you for your understanding!
CORONAVIRUS ALERT: WNY BloodCare is continually monitoring information during this outbreak. Please visit our News section for the latest updates

Forms

To help make your life easier, we give you quick access to a variety of forms, all in one convenient location

For Patients:

Medical Records Request Form

Use this form to request medical records for yourself or to send to a provider/entity that is not listed as one of your providers in your intake paperwork.

Patient Grievance/Incident Report

This form is used to file a written grievance or incident report that occurred while at or with any staff of WNYBC. All patients and/or patient’s families may submit a written grievance and/or incident report without fear of reprisal.

For Providers:

Medical Records Request Form

Use this form to request medical records for a patient of WNYBC.

	1010 Main Street, Suite 300
	Buffalo, New York 14202
	Open Weekdays 8:30am - 4:30pm

(716) 896-2470	Office Phone
(716) 218-4017	Office Fax
(716) 218-4000	Provider's Fax

(716) 218-4015	Lab Phone
(716) 882-0182	Lab Fax
(716) 218-4005	Compliance Hotline

Forms

For Patients:

For Providers:

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