Become A Patient

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

Consultation Fee:

A consultation fee is required at the time of your appointment. If you decide to have a procedure or surgery, the fee will be applied to your balance.

Payment Options:

Patient financing options are available. Click here to learn more about Prosper, or here to learn about CareCredit, or contact one of our Patient Consultants for more information.

We also accept the following forms of payment: cash, check, and all major credit cards.

Cancellation Policy:

Please contact our office 24 hours in advance if you are unable to keep your appointment. If you cancel your appointment less than 24 hours in advance, a $50.00 cancellation fee will be charged. We attempt to accommodate our patients’ schedules to the best of our ability, and by receiving your cancellation prior to 24 hours, we are able to accommodate another patient. Please be advised that if you do not show for two consecutive appointments, another appointment will not be made.

Overnight Accommodations:

We have special rates with premier hotels close to our facility. These include The Strathallan, Courtyard Marriott, the Inn on Broadway, and the Hyatt Regency. Please contact a Patient Consultant for more information.

For added convenience and comfort following ambulatory surgery, some patients choose to stay in a supervised setting at our Carriage House on their first post-operative night, located adjacent to the Lindsay House. Especially for guests without the benefit of family or friends in the Rochester area, our staff is happy to assist you with overnight arrangements.

The main living area of the Carriage House provides comfort and accessibility for patients on their first night of recovery post-surgery.

With consistent, quality care based on each patient’s needs, a nurse ensures a pleasant and safe stay.

Each unique patient room provides overnight accommodations with a private bathroom and various essential amenities.

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) 206-7343. For directions, click here.

Q VIP Program:

To reward our loyal patients, we are pleased to offer the Q VIP program. Points are earned for every dollar spent on injectables and cosmetic surgery which can then be redeemed for a credit off a future procedure. To learn more, click here.