Victor Health Associates

6532 Anthony Drive

Suite A

Victor, New York 14564

+1.585.924.2100

Patient Forms

Important information on how we use or share your information, and your patient rights- the complete version.

New Pediatric Patient Information and Forms: For patients under the age of 18. Parent/Guardian only must review and complete the necessary forms. Return a to the office no later than the date of first visit.

Complete this form if you are requesting Victor Health Associates to send your medical information to another doctor/office/or party.

UPDATED 1/2019: New Adult Patients: Please print and review the information and complete forms. Return a printed copy of forms to the office no later than the date of first visit.

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Call Us:  +1.585.924.2100

UPDATED 1/2019: Complete this form in order for Victor Health Associates to receive medical information from another doctor or office you have seen.

Important information on how we use or share your information, and your patient rights- in a condensed version.

UPDATED 1/2019: The Physical Health History Form is to be completed by all adult patients prior to their scheduled Physcial Exam Appointment.

**Please visit our Physical Appointments Page for additional information and lab order instructions