Finger Lakes Family Care
Robert L. Smith, MD, Leigh Lafferty, FNP, Susan Quinn, FNP
23 North Street, Suite 5, Canandaigua, New York 14424
(866) 224-6119 (Fax) (585) 394-8170 (Phone) www.fingerlakesfamilycare.com (URL)

NEW PATIENT FORMS

Please complete these forms and bring with you to your first appointment.

New Patient Registration

Financial Policy

Chaperone Form

Health Care Proxy (optional)