We have provided
several forms on this web site that you can fill out
and bring to your visit or fax to our office.
Registration:
New patient paperwork
can be found here. It includes basic patient and
insurance information. Reviewing the forms before
your visit will allow you to ensure that proper
information is brought with you to your visit.
Prescriptions:
To request a
prescription refill please call our office or
complete the prescription refill request and fax to
our office. Please provide all the information on
the form.
Records Release:
Use this form if you
want your medical records forwarded to a third
party. Please complete the form and fax it to:
585-461-9895 to the attention of Medical Records.
