Welcome to Maple Internal Medicine & Pediatrics

 Dr's Aquino,Hartrich, Hrab, Heyden, Thierman, Riedy & Boice

New Physician:  Dr. Sarah Boice has started at our practice.  She completed her residency as Chief Resident at Oishei Children's Hospital.  At this time, Dr. Boice has a full patient schedule.  If you are interested in becoming a new patient, please fill out a New Patient form on this website & the office will keep it on hand for when the office begins seeing new patients in the future.

Our group consists of 7 physicians who are all board certified in Internal Medicine and in Pediatrics. The group was founded on July 1,1987, by Drs. Nicholas J. Aquino and William M. Hartrich. It was the first group of its kind west of Rochester, NY.

Each Member of the group completed a 4 year dual residency program in combined internal medicine and pediatrics. Each member completed the residency program at the SUNY Buffalo School of Medicine, and each member hails from Western New York.


Starting the week of May 4th we will be attempting to resume our regularly scheduled appointments for well visits and follow up for our patients who are low risk for severe disease and who would be comfortable keeping their appointments. It is not mandatory to keep these appointments, and your decision should be based on your risk factors and comfort in coming in. We we still offer telemedicine visits for those who will or can not come in to office due to their health risks or concern with possible exposure to the virus. This risk should be extremely low given the precautions that we will be taking.

We will screen all patients at the door (if you have a fever or respiratory symptoms, you will be sent to your car to call for recommendations). We do have a sick and well sitting area, but at this time we plan on placing patients into a room as soon as they enter. If you do sit in the waiting room, the chair will be fully disinfected with alcohol, as well as the room you are in as soon as you leave.

There will be no check in or check-out line. You will be asked to leave immediately and all testing or follow up appointments will be arranged over the phone or through the portal.

We will be seeing sick patients, but if the past few weeks are any indication, these will be few and far between. If there is any concern by our staff for a possible COVID related illness, we will not offer you an appointment to protect other patients and staff. We will manage over the phone, via telemedicine, and refer for testing. We will try hard to schedule sick patients at the end of the morning and the end of the day to keep exposure risk to a minimum.

If you have been exposed to, or think you have been exposed to a person with COVID 19, or have symptoms of infection (headache, fever and/or chills, cough/congestion or shortness of breath, sore throat, loss of taste or smell, and possibly diarrhea) you should self-quarantine and treat symptomatically.You should also notify us so that we can refer for proper testing. The treatment of fever/muscle aches should be only Tylenol or Acetaminophen, not a non-steroidal anti-inflammatory drug like Ibuprofen, Advil/Motrin, Naproxen (Aleve), Meloxicam or Celebrex.

Please call if you have any other symptom not associated with Covid19 (ex: chest pain, earache, ST (by itself) without cough or congestion, abdominal pain, urinary symptoms), or if you have chest pain and shortness of breath associated with cough and congestion.

Shortness of breath is defined as an inability to speak full sentences at rest or marked decrease in ability to breathe with activity such as walking. If you notice decrease in mental status, blue lips or fingertips, call immediately.

High risk groups include those over 60 years if age, those with heart disease, lung disease (i.e. COPD and asthma), kidney disease, diabetes or those who are immunosuppressed(undergoing cancer treatment, rheumatologic disorders, organ transplant) or post cancer treatment.



If You Test Positive for COVID-19 (Isolate)
Regardless of vaccination status.

Stay home for 5 days.
If you have no symptoms or your symptoms are resolving after 5 days, you can leave your house.
Continue to wear a mask around others for 5 additional days.
If you have a fever, continue to stay home until your fever resolves.

If You Were Exposed to Someone with COVID-19 (Quarantine)
If you:

Have been boosted
Completed the primary series of Pfizer or Moderna vaccine within the last 6 months
Completed the primary series of J&J vaccine within the last 2 months

Wear a mask around others for 10 days.
Test on day 5, if possible.
If you develop symptoms get a test and stay home.

If you:

Completed the primary series of Pfizer or Moderna vaccine over 6 months ago and are not boosted
Completed the primary series of J&J over 2 months ago and are not boosted
Are unvaccinated

Stay home for 5 days. After that continue to wear a mask around others for 5 additional days.
If you can’t quarantine you must wear a mask for 10 days.
Test on day 5 if possible.
If you develop symptoms get a test and stay home

The office has partnered with Spectrum Health and Human Service to provide mental health, and substance abuse counseling services.  
David Casassa, a Licensed Behavioral Specialist will be available every Tuesdays & Thursday from 9am - 5pm at our office for on-site consultation with short term treatment and intervention.  
If you are interested in seeing David, please call (716)634-5410 prompt 3 or 7.  
Call Us First
 Please call our office first before going to an Urgent Care or Emergency Room unless it is a situation that you need to call 911.
Call your primary care physician first before seeing a new specialist.




Below is a listing of sites where covid testing can now be performed.







Rite Aide




Erie County Locations


NYS Mapfinder Locations







Vaccines are available at other sites and are encouraged for all of those who are eligible.
Consent forms for Minors Can be Downloaded and completed prior to vaccination appointments by clicking on links below
Age 5-11
Age 12-17
Many Pharmacies are offering the vaccines but other locations can also be found by clicking link below and entering your zip code.
Vaccine Finder