New Patient and Intake Forms


All New patients or patients returning 90 days or more since your last session please click on the patient intake link and complete and email back to us at  or print out and bring with you to your first appointment. 



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 IntakeTo be completed by all new patients and returning patients

Shoulder, Arm, Hand Hip Foot, Ankle
Lower Back

Upper back



Physical Therapy, PC

1328 University Ave
Rochester NY 14607-1622

phone: 585-482-5060
Fax:     585-482-7982

CHPT Facebook


Monday 8:30 am - 5:30 pm
Tuesday 9 am - 5:30 pm
Wednesday 9 am - 5:30 pm
Thursday 9 am - 5:30 pm
Friday 8:30 am - 5 pm
Saturday Closed
Sunday Closed


CHPT is accepting new patients!

New Patient Information Here

New Patient Form

Patient Forms

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

Take our Patient Satisfaction Survey!



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