New Patient Packet

Appointments are made by referral only.

You must have any provider, Urgent Care Physician or Emergency Department Hospitalist send your demographic information, insurance details and pertinent records to our secure EMR fax 315-517-3012.

Once we have received your records our providers will review your records and have one of our care representatives call you to schedule an appointment on a day and time that works with your schedule.

We accept most Private Insurance plans, Workers Compensation and No-Fault Insurances.

Please print, complete and return the following forms upon your arrival.

 

Download New Patient Packet Contact Us

 

One of our receptionists will greet you and get you started on your journey of recovery.

Once you see one of our doctors, you will be asked about more than your condition, because we want to understand how your pain affects your life. We will listen as you tell us your individual story, how your pain affects your life and the goals you have for returning to work or enjoying the time you spend with your family or friends.

We will help you set goals and build a care plan to help you achieve your goals that will benefit you, your family, and your life.

What to bring to your initial appointment?

• Filled out patient forms for specific area of pain
• Insurance card
• Co-payment due for visit
• A valid form of ID such as a driver’s license
• If applicable, Insurance authorization
• If applicable, workers compensation or no fault information
• If applicable, any X-Rays, MRI, CT Scans. Bring the DISC images, reports alone are not sufficient!