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Brighton Office

(585) 442-3220

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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 0-12

Adolescent New Patient Forms   ages 13-17

Pregnant Patients

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

Prenatal New Patient Paperwork


CONTACT US TODAY

We look forward to hearing from you

Featured Services

Office Hours

Our Regular Schedule

Brighton Hours

Monday:

7:00 am-6:30 pm

Tuesday:

7:00 am-6:30 pm

Wednesday:

7:00 am-6:30 pm

Thursday:

7:00 am-6:30 pm

Friday:

7:00 am-6:30 pm

Saturday:

8:00 am-12:00 pm

Sunday:

Closed

Webster Hours

Monday:

Closed

Tuesday:

9:00 am-4:30 pm

Wednesday:

2:30 pm-6:00 pm

Thursday:

Closed

Friday:

7:30 am-12:00 pm

Saturday:

Closed

Sunday:

Closed

Locations

Find us on the map

Testimonial

Reviews By Our Satisfied Patients

  • "Dr. Keeler is helpful, knowledgeable, and encouraging. He is a chiropractor who thinks about much more than bones/joints. He inspires me to make better lifestyle choices to improve my health and teaches stretches to counteract my years of poor posture. I am very grateful for his care for our whole family!"
    Jennifer B. Rochester, NY

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