• HOME
  • HOURS and LOCATION
  • MEET YOUR PRACTITIONERS
  • CHIROPRACTIC
    • NETWORK SPINAL CARE
    • Chiropractic BLOG
  • NUTRITION SERVICES
    • NUTRITON RESPONSE TESTING
    • Nutrition Testimonials
    • Nutrition BLOG
    • Detox Balance & Purification Program
    • Recipes
  • FORMS
    • CHIROPRACTIC New patient Forms
    • NUTRITION New Clients and Follow Up Visit Form
    • Directions to the office
  • ADDITIONAL SERVICES
    • Personal Infrared Sauna
    • PEMF Therapy
  • CLASSES & EVENTS
  • CONTACT FORM
  Dr. Robyn Graber, DC
(585) 383-8833

Welcome to our practice! 
To help streamline your chiropractic New Patient visit please

​1. Download and Complete the all Chiropractic Forms listed below

2. ​Bring in completed forms to your first visit

3. For any reason you are unable to download and complete paperwork prior to your first visit please arrive 15-20 minutes before scheduled appointment
​

We look forward to meeting you and helping you reach your wellness care goals!

CHIROPRACTIC NEW PATIENT FORMS
Please Download


*New Patient Letter - Read!


*Confidential Health History - Download

new_patient_letter_online.pdf
File Size: 95 kb
File Type: pdf
Download File

graber1confhealthinfo_15.pdf
File Size: 470 kb
File Type: pdf
Download File

*Notice of Privacy Practices -​ Download


​*PHI Use and Disclosure Authorization  Download
​

​
​​*Financial Office Policy - Download
​

*Missed Appointment & Cancellation Policy
​
 Download
​

*Directions to Office
notice_of_privacy_practices.pdf
File Size: 260 kb
File Type: pdf
Download File

phi_use___disclosure_authorization.pdf
File Size: 147 kb
File Type: pdf
Download File

financial_office_policy.pdf
File Size: 101 kb
File Type: pdf
Download File

missed_appointment___cancellation_policy.pdf
File Size: 68 kb
File Type: pdf
Download File

directions_to_the_office.pdf
File Size: 126 kb
File Type: pdf
Download File


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