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Location

Brighton Office

30 Allens Creek Road

Rochester, NY 14618 US

(585) 442-3220

Webster Office

488 Plank Road

Webster, NY 14580 United States

585-787-1310

Forms

We offer you the option to download the necessary form(s). We have added the necessary forms for you to download, fill out and bring to your first appointment. If you decide not to fill these out before you arrive, please arrive between 15-20 minutes early. In addition to these forms please bring picture ID and your insurance card to the first appointment. 



Adult Patients

This lets us know the history and current state of your condition and health. Everyone must fill out these forms unless they are under the age of 17. If under the age of 17, kindly fill out the Pediatric forms below.

New patient forms




Automobile Accident (No-Fault)

If the purpose of your visit is due to injuries sustained in a motor vehicle accident you must fill out these forms.

 No-Fault New Patient Forms


Pediatric Patient History

If the patient is under the age of 17, kindly fill out the forms. You do not need to fill out any other forms. 

Pediatric New Patient Forms  ages 0-5

Adolescent New Patient Forms   ages 6-13


Pregnant Patients

If you are currently pregnant please print and fill out these forms:

Prenatal New Patient Paperwork