Check in Forms
To speed up your check in process you can download them, print them out, complete them, and bring them with you when you come in for your first visit. Thank You!
Monroe County Forms
PATIENTINFORMATION.pdf
(PDF — 116 KB)
CANCELLATIONPOLICY.pdf
(PDF — 107 KB)
PHI form - Monroe County updated 122211.pdf
(PDF — 116 KB)
FINANCIALPOLICY.pdf
(PDF — 62 KB)
PATIENT MEDICAL HISTORY FORM LC.pdf
(PDF — 18 KB)
WORKERSCOMP.pdf
(PDF — 73 KB)
Livingston County Forms
PHI form LC.pdf
(PDF — 25 KB)
PATIENT MEDICAL HISTORY FORM LC.pdf
(PDF — 18 KB)
Home
|
About Us
|
Services & Treatment
|
Monroe County Locations
|
Rush Henrietta
|
Pianoworks
|
Webster
|
Lattimore
|
Honeoye Falls Lima
|
Pittsford Mendon
|
North Greece
|
Hilton
|
Irondequoit
|
Lattimore Aquatic & Arthritis
|
Fairport
|
Livingston County Locations
|
Lattimore of Geneseo
|
Dansville
|
Avon
|
Livingston Fitness
|
Specials & Promotions2
|
FAQ
|
Testimonials
|
Patient Forms
|
Contact Us