Vital Signs Medical Associates

Patient Login

Dr. Alexander Fruchter & Dr. Emily Gordon

Step 1: Please provide required personal information so that your healthcare providers will have accurate data for servicing you.

* = Required
SSN exists already

Title
(e.g. Mr, Miss, Mrs., Ms.)
First Name *
Middle Name
Last Name *
Degrees / Suffixes
(e.g., PhD, PA, MD, etc.)
Date of Birth * / /
Birth Time Zone
Social Security Number * - -
Enter the last four digits of Social Security Number.
No SSN available? Enter "9999"

Sex *

Male Female Unknown

Street 1*
Street 2
Zip*
Phone* - -
Type*
Please make sure that you enter a valid email address. This email address will be used as login username.
Email*
Password*
Confirm Password*

Employment Status

Employed Not Employed Retired

Occupation

Marital Status

Photo
Maximum image dimensions: 400w x 400h pixels.

Race & Ethnicity

American Indian/Alaska Native Asian Black/African American
Native Hawaiian or Other Pacific Islander White Other Other(please specify):

Decline

Sexual Orientation

Straight or heterosexual Lesbian, gay, or homosexual Bisexual
Something else, please describe Don't know
Decline

Gender Identification

Male Female Transgender male/Trans man/Female-to-male
Transgender female/Trans woman/Male-to-female Genderqueer, neither exclusively male nor female
Additional gender category/(or other), please specify
Decline

Language Preference

Other
Other (please specify):

Decline

Patient Policies
Check this box to confirm that you agree to the Waiting Room Solutions Terms and Conditions
Check this box if you acknowledge having read the practice's Practice Privacy Policy Attestations
Check this box if you accept the Assignment of Benefits Agreement

Patients First...

Welcome to the office of Dr. Alexander Fruchter and Dr. Emily Gordon, located in Middletown, NY. You don't have to travel far to get the quality care you need.

Contact Info

450 East Main Street #4
Middletown, NY 10940-2578

Phone: (845) 381-5109
Fax: (845) 531-4882

Click here for map & directions