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All patients:

New Patient Registration - all new patients will fill out this paperwork

Verification of Insurance Coverage - if you'd like to verify your insurance covers our provided services

Out of network patients:

Patient Summary Form - if you're out of network, this form can be filled out by you and our provider and will be submitted by us to help with potential reimbursement for your care

Medicare patients:

Medicare Advance Beneficiary Notice of Noncoverage (ABN) - in order for us to process with Medicare insurance, this form is mandatory

Worker's compensation patients:

Work Comp Case Information - includes all the information we'll need to process your care

Auto accident/No fault patients:

New York No Fault Form - includes all the information we'll need to process your care

Sign up using the form below or call 315-498-6888 to make an appointment.

THIS ---->https://parkerchirocom.chiromatrixbase.com/patient-center/patient-forms.html

Office Hours

Monday8 - 121-6
Tuesday8 - 121-6
Wednesday8 -121-6
Thursday8 - 121-6
Friday8 - 121-6
SaturdayBy Appt.By Appt
SundayBy ApptBy Appt
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8 - 12 8 - 12 8 -12 8 - 12 8 - 12 By Appt. By Appt
1-6 1-6 1-6 1-6 1-6 By Appt By Appt

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