Intake Forms
IIntake Foms are available to fill out ONLINE.... this will greatly help us to keep your files up to date. If you are able to complete the form this way.
Pediatric Intake Form
Pediatric Intake Form
Pediatric Intake Form.pdf
Adobe Acrobat document [147.5 KB]
Pediatric Intake Form
Pediatric Intake Form.pdf
Adobe Acrobat document [147.5 KB]
Share749 East Henrietta Road is located on the corner of East Henrietta Road and Crittenden Road off the 390 Exit. It is located in the Upper Cervical Chiropractic of Rochester (UCC of ROC) office. Dr. Laura & Howard have a separate entrance on the side of the building.
Dr. Laura's Conesus Office is located at 6386 Pucker St. in her home which is a gray cape cod with a covered porch. It is on a country road and is the second house on the right coming from Sliker Hill Rd.
Print 