Forms
Please download them, print them out, complete them, and bring them with you when you come in for your first visit.
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 & Promotions
|
FAQ
|
In The News
|
Testimonials
|
Contact Us
|
Learn More About Your Injury
|
Back Pain
|
Neck Pain
|
Shoulder Pain
|
Knee Pain
|
Ankle Pain
|
Patient Forms
