Welcome, new patients!

Buffalo Call 716-440-1118, Williamsville call 716- 631-2626
Tired of filling out paperwork during your appointment time? 

Print the intake forms listed below to get a head start on your road to recovery!

       Please click on the buttons below to begin the registration process in our database,

         as everybody must fill out the following forms:                                                                        
Insurances Accepted at FCPT
Medicare

Independent Health

Your Care

Blue Cross/Blue Shield

Community Blue
Workers Compensation

No Fault

Aetna

Nova

Humana
United Healthcare

Pomco

GHI

Cigna

MVP
Please click each form button below.
Then print each form. Please fill out questions completely.

Bring in to your appointment.

Patient Intake form

Insuance Waiver
& Attendance policy

Authorization to pay benefits
 

Consent form