Allergy and Sinus Conditions
Allergy and Sinus Conditions learn more
reconstructive facial surgery
reconstructive
facial surgery
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Sleep Disorders
Sleep Disorders
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Hearing Center
Hearing Center
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Patient Forms

All new patients need to print and fill out the New Patient Information and Patient Medical History forms, and bring them with you to your appointment (or fax ahead to appropriate office: Newark (315) 573-7787, Canandaigua (585) 412-6963, or Geneseo (585) 412-6963.

If any patient information has changed since your last visit, such as your insurance carrier or your address, please complete a new Patient History form as well. Please bring your insurance card and photo identification to all appointments, as well a referral from your primary care provider, if required by your insurance company.

Some of our forms are more than one page long. Please be sure that when selecting a form and printing it, your printer is set to "print all pages" so that the entire form will print out for you.