PATIENT INFORMATION

For your convenience, we have provided our patient intake forms here. We ask that you please fill them out and bring them with you to your first appointment, along with your insurance card and prescription from the doctor if you have one. If you would prefer to fill out the patient forms at our office, please arrive 10-15min before your appointment to allow enough time to get them completed before your appointment. 

ITHACA

376 Elmira Rd.

Ste 100

Ithaca, NY 14850

Tel: (607) 272-9937

Fax: (888) 978-4495

FREEVILLE

24 Main Street

Freeville, NY 13068

Email: mfooteflpt@gmail.com

Tel: (607) 844-3440

Fax: (888) 978-4495

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CONTACT

Text: 607-220-8006

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For immediate assistance and scheduling, please call or text our office.