PLEASE NOTE : our providers set aside 30 minutes for new patient appointments and typically
do not perform the annual preventive physical exam at the initial visit.
do not perform the annual preventive physical exam at the initial visit.
| Welcome Letter New Patients |
| PPP2023 - rev July 2023 |
| NPP - 2022-2023 |
| RECORDS RELEASE FORM |
| Please complete for Separated | Divorced Parents of Pediatric Patients |
CHURCHVILLE CHILI FAMILY MEDICINE
To provide cheerful, compassionate, competent healthcare so as to openly glorify God
Tel (585) 594-5995 - 4201 Buffalo Road, Suite 1 - P.O. Box 505, North Chili, NY 14514
(our secure fax line is reserved for medical purposes only - no solicitation)
(our secure fax line is reserved for medical purposes only - no solicitation)