Patient Forms

To help facilitate your registration experience, we have provided the following forms for your convenience. Please download and complete the forms that apply to you and bring them with you to your first appointment.

All Insurance Types

Patient Welcome Letter-Webster Patient Welcome Letter-Pittsford Patient Registration Form Returning Patient Registration Form Medical History Form

The following are additional forms for:

Workers' Compensation

Workers' Comp A-9 Form Workers' Comp and No-fault Cancellation Policy

No-Fault

No-Fault Cancellation Policy

Medicare Patients

Medicare Consent Policy McGill Pain Questionnaire Optimal Instrument

Direct Access (patients without a prescription)

Notice of Direct Access

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