Appointment Registration

Please choose the appropriate link to register for your appointment and update the team of any changes. Please plan to arrive to your appointment 10 minutes early.

New Patient?
This intake form must be completed prior to your visit. If it is not completed at least 6 hours prior to your appointment, your visit may be rescheduled to the next open appointment slot. This gives the team the opportunity to review your history and have a better understanding of your medical needs.
New Patient Appointment Registration Form

Current Patient?
Please complete the following form if you have changes in your medication list, diagnoses, insurance or demographic information.
Current Patient Appointment Registration Form

Please review the office policy page prior to your visit.
Jackson's Health Policies

Business Hours:

Sunday: Closed

Monday thru Friday: 8am to 5pm

Saturday: Closed

1815 South Clinton Ave Suite 610

Rochester, NY 14618

585-340-6940 I Fax: 585-348-2045

patientsupport@jacksonshealth.org

Appointment Registration

Current Patient? Please complete the following form if you have changes in your medication list, diagnoses, insurance or demographic information. Current Patient Appointment Registration Form

Please review the office policy page prior to your visit. Jackson's Health Policies

Current Patient?
Please complete the following form if you have changes in your medication list, diagnoses, insurance or demographic information.
Current Patient Appointment Registration Form

Please review the office policy page prior to your visit.
Jackson's Health Policies