New Patient Intake Forms

First click on Patient Intake Box; complete all 4 forms. Be sure to include your email address on first form in packet.

Next click on the Box that pertains to the reason of your visit. This will give you a functional test form to fill out. Bring this with you as well.


Patient Intake
To be completed by
all new patients

Shoulder, Arm, Hand Hip Foot, Ankle
Lower Back Neck
Upper back


Physical Therapy, PC

1328 University Ave

Rochester NY 14607-1622
phone: 585-482-5060
fax: 585-482-7982


Monday 8:00 am - 6:00 pm
Tuesday 8:00 am - 6:00 pm
Wednesday 8:00 am - 6:00 pm
Thursday 8:00 am - 6:00 pm
Friday 8:15 am - 5:00 pm
Saturday Closed
Sunday Closed


CHPT is accepting new patients!

New Patient Information Here

Remember, you can decide which PT clinic is best for you!


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