Chiropractor, Rochester, NY
1880 E. RIDGE ROAD SUITE 2 Irondequoit Wellness Center ROCHESTER, NY 14622
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Massage Therapy

New Patient Forms

There are 3 ways to fill out the new patient intake forms. You can fill out the forms online, you can print the forms out and fill them out at home, or you can simply fill them out when you arrive at our office.

1. Online

Online Form You can easily fill out the intake form online. Please bring your insurance information with you to the office on your first visit. Don't forget to call us to schedule your first appointment!

2. At Home

Bring to your first appointment:
(PDF) Standard Intake Form - Print this off and fill it out at home
(PDF) Worker's Comp / No Fault (Personal Injury) - Also print and fill out this form if you are seeking care for an auto accident or work related injury

3. At Our Office

You can also fill out the paperwork at our office when you arrive for your first appointment