Securely Submit Patients Forms & Questions



To help protect your privacy and information we have provided a Secure Socket Layer (SSL) portal that you can

safely and securely submit all forms and documents and any questions to our office by completing the documents on

 your computer, tablet, or mobile device  and uploading  the documents through the secure submittal portal below.

Our office will send you a confirmation email of our receiving the information on our next business day. 



If you have an appointment within the next 24 hours please call our office at 607-563-2333

to confirm our receipt of the information to help expedite your appointment.