Patient Forms and Documents

Welcome Letter

Patient Intake Form

Medical Information Release Form

HIPAA Notice of Privacy Practices

Insurances Accepted

We happily accept all major commercial insurances as well as Medicare.

• Excellus and other Blue Cross Blue Shield plans
• MVP
• United Health
• Cigna
• Aetna
• any others

We regret that we cannot accept Worker’s Compensation cases. Please contact us if you have any questions.

Hospital Affiliations

Rochester General Hospital
1425 Portland Ave.
Rochester, NY 14621
(585) 922-4000

Unity Health Systems
1555 Long Pond Road
Rochester, NY 14626
(585) 723-7000