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Albany Medical Clinic

Thank you for your interest in the Albany Medical Clinic!

Please complete the following form if you would like to be added to our Wait List. You can use the form to add family members as well.

A member of our team will contact you within 1 week to review your completed Form and advise you about the status.

    Please Note: Submission of this form does not automatically enroll you as a patient of the Albany Medical Clinic.

    By clicking ‘Accept’, I acknowledge that the Albany Medical Clinic may collect my information, contact me or provide me with information regarding the Albany Medical Clinic and its services.