New Patient Forms

Patient Form

Please complete the following form prior to your consultation and bring it to your appointment. We ask that you also bring a form of ID, such as your driver’s license and your insurance card.

• Patient Demographic Sheet

If you would like to complete the new patient paperwork electronically prior to your appointment, please click here. This will assist our office as we have transitioned to Electronic Medical Records.

Health Care Plan Participation, Hospital Affiliations and Laboratory Affiliations

Virtual Visits

• Consent to Participate in a Virtual Visit/Consultation

Patient Guidebook

• Download Here

Privacy

We are committed to your privacy. To ensure a comfortable experience for you as our patient, please make use of our private entrance and isolated waiting area located near a side entrance of our facility.

If you have any questions regarding your appointment or the patient form, please contact our office at (585) 244-1000. For directions, click here.