Adult Patients

Please read the below information carefully, prior to beginning the intake form.

  1. The email address entered initially must be the Patient's primary email address.
  2. Once you complete the form, please look for a message via the Patient Portal within 5 business days regarding your request for services.
  3. If you have already completed this form, please do not complete it again.

If you have any questions, please reach out via the Patient Portal or through the contact us form on our website.

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Proudly serving the Greater Utica and Syracuse regions, including Utica, Rome, Syracuse, Fayetteville, Manlius, Chittenango, Baldwinsville, Liverpool, Ithaca, Cortland, Rochester, Oneonta, Watertown, Binghamton, Little Falls, Albany, Troy, Schenectady, and many more.


1031 East Fayette Street
Syracuse, NY 13210

P: 315-732-3431
F: 866-822-2343


122 Business Park Drive Suite 1
Utica, NY 13502

P: 315-732-3431
F: 866-822-2343