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Patient Forms:
You will find links to our most common forms below. If you have any questions at all, please call us at 315-414-0224. We would be happy to answer any questions you have about the forms, our policies, or procedures.
Adult Patient Form - click here
If you are a patient over the age of 18, you are considered an adult patient. Please print and fill out this form to bring to your first visit.
Child Patient Form - click here
If you are a patient age 17 or younger, you are considered an child patient. You will need to be accompanied by your parent or legal guardian for your first visit. Please print and fill out this form to bring to your first visit.
Medicare Form - click here
If you are going to be submitting your visits to Medicare, please print and fill out this form to bring to your first visit.
No-Fault Form - click here
If you are a patient applying for motor vehicle no-fault benefits, please print and fill out this form to bring to your first visit.
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Office Hours:
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Mon - Thu:
Fri:
Weekend: |
9am-7pm
9am-4pm
closed |
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What did you like most about your visit to our office?
...The staff is very friendly. The doctor listened to my needs and made sure she fulfilled them. |
| - Timieka |
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