We now have a Patient Portal!

You can access the portal by clicking on the link in the top right corner of the screen.

If you have not already been set up with portal access, please contact the office and the staff will get you set up.

With Our Patient Portal Service You Can:

• View and Request Appointments
• Retrieve Test Results
• View Personal Health Information
• Update Demographic Information
• View Billing Statements and Balances
• Make Secure Credit Card Payments
• Request Prescriptions and Refills
• Communicate with Providers by Sending and Receiving Secure Messages

You still have the option to download Our Patient Forms

Before your appointment with us, quickly and conveniently access patient forms from our practice.

To view the forms listed below, you will need Adobe Reader. Please bring your completed forms with you to our office at the time of your visit.

Physician Forms Online Submission

• Evaluations/New Patient
  • Rochester
  • Bloomfield
  • Commerce
  • Downtown Rochester – Dr Achtman
• HIPAA
• 2021 Authorization Statement
• Recheck
  • Rochester
  • Bloomfield
  • Commerce
  • Downtown Rochester – Dr Achtman
• Medical Records Release
• Secure Upload

Physician Forms Print

• Patient Registration
• HIPAA & Privacy Practice
• 2021 Auth Statement
• Recheck
• Medical Release Form
• Acupuncture Consent

Physical Therapy Forms

• Patient History Form (For all physical therapy patients)
• Patient Registration Form (For physical therapy patients new to our practice)
• Neck Conditions
• Shoulder Conditions
• Elbow, Wrist, Hand Conditions
• Back Conditions
• Hip Conditions
• Knee Conditions
• Foot, Ankle Conditions
• Gait, Balance Conditions