Referrals

 
(315) 786-3990

To Our Referring Doctors,

For your convenience, our patient referral sheet is attached here.

Please feel free to print and fax this form to our office or have the patient bring the completed form with them to their visit to our office.

If you or your staff have any problems getting these files to print properly, please call our office and we will gladly assist you!

Thank You so much!

This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

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