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Practice Name

Dr. Roger Yates

Primary Location
17 Platt Lane
Deep River, CT 06417
Phone: (860) 526-9094
Main Content

Dr. Roger Yates offers our patient form(s) online                  
so you can complete it in the convenience of your own home or office.    

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) - fax# is (860) 388-5528- or bring it with you to your appointment.


New Client Health History Form - Required  This let's us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with?  We really do read all of your information, so please, let us know!

Download & Print Form

 


 

Worker's Compensation Form - Required  ONLY if condition is the result of a work related injury

This let's us know the history and current state of your health in relation to the work related injury involved.

Download & Print Form

 


Accident/Injury Form - Required ONLY if condition is the result of an auto accident

This let's us know the history and current state of your health in relation to the auto accident involved.

Download & Print Form

 




Download the Free AdobeReader®

 

Sign-up using the form or call us at (860) 526-9094 to make your appointment

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Online Forms

Dr. Roger Yates offers our patient form(s) online so you can complete it in the convenience of your own home or office.

Online Forms

Testimonial

Thank you all for your part in my continued good health these past few months. I love going to the doctor and being with the staff when I'm not sick, but staying well. You are all truly healers.

- Lisa M. / Deep River, CT

Office Hours

Day
MondayBy Appt.
TuesdayBy Appt.
WednesdayBy Appt.
ThursdayBy Appt.
FridayBy Appt.
SaturdayBy Appt.
SundayCLOSED

3D Spine Simulator

(860) 526-9094

Contact

CT Physical Address:
17 Platt Lane
Deep River, CT 06417
Get Directions
  • Phone: (860) 526-9094
MA Physical Address:
244 Walton St.
Fitchburg, MA 01420
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