(585) 225-6430 info@healthsourcechiropractic.com
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HealthSource Chiropractic
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New Patient Forms

Please download, print and fill out the following forms before your first appointment in order to speed up the check-in process. If you are unable to do so, we have this paper work available for you at the front desk. Thank you.

Patient Intake
Health History Form
Financial Policy Form
HIPAA Agreement Form
The STarT Musculoskeletal Screening Tool

Hours & Info

1851 Stone Road
Suite 100
Rochester, NY 14615
585-225-6430
M-F 8:00am-6:00pm
Sa 9:00am - 12:00pm

What is Active Release Techniques (ART)?

https://www.youtube.com/watch?v=T1bMbN9VgBM

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