Recent Announcements

Joining UR Primary Care

posted Jul 17, 2017, 9:59 AM by Daniel Zerbe   [ updated Jul 17, 2017, 10:11 AM ]

UR Medicine 
We are excited to announce that Letchworth Family Medicine has joined UR Medicine Primary Care, a network of practices in the region specializin in primary care. The providers and care you are acustomed to will not be changing, though our name has: UR Medicine Primary Care - Perry. Our new website is 

You will be seeing some changes, with remodeling, an new electronic medical record in late August, and some additional faces over time. There will be a new patient portal when the new electronic record goes live this fall. 

And we welcome Natalie Cornell and Coleen Cliff to our nursing staff. 

Influenza Vaccine Clipboard

posted Nov 17, 2016, 10:46 AM by Daniel Zerbe

For the duration of influenza season you can stop in anytime Monday through Friday to get your flu shot. The receptionist has a clip board for you to sign in on and the nurse will be with you shortly. Influenza vaccines are recommended for everyone. 


posted Nov 17, 2016, 10:42 AM by Daniel Zerbe

Thank you for bearing with us with all of the consents we are required to obtain at check in. As you may have noticed, we have added a check-in secretary to help you through the process. 

Why all the consents? 

Privacy laws require us to have your permission to leave appointment and medical information on your home phone, mobile, text  mail, email or with your emergency contact person. 

We need Health Care Proxy forms to know who has your permission to make your medical decisions if you are unable. 

We have 3 information exchange consents for you to sign.  The first two are the Buffalo and Rochester area hospital, lab and radiology facilities.  If you happen to go to any of these locations for any reason and they don't automatically send us a report, this gives us permission to obtain those reports.  The third one is Surescripts.  If you go to a specialist and they give you a new medication, but you can't tell us what the name or dosage is, this gives us the permission to download your prescription history through your pharmacy.

Hannah Navarro PA joins LFM

posted Dec 9, 2015, 9:32 AM by Daniel Zerbe   [ updated Dec 9, 2015, 9:32 AM ]

 We welcome Hannah Navarro, PA to our practice. She completed her physician assistant training at Upstate Medical Center. We are sad about the retirement of Barbara Walker NP, and miss her, but are grateful to have Hanna join us.  

Prevnar 13 for seniors

posted Dec 9, 2015, 9:25 AM by Daniel Zerbe

PCV13 is now recommended for seniors

The pneumococcal conjugate vaccine (PCV13 or Prevnar 13®) protects against 13 types of pneumococcal bacteria.

Before the vaccine, there were about 700 cases of meningitis, 13,000 blood infections, and 200 deaths from pneumococcal disease each year among children younger than 5 years old. After the vaccine was introduced, these numbers dropped quickly.

doctor vaccinating patient

PCV13 is recommended for use in infants and young children. Certain older children may also need a dose of PCV13.

PCV13 is recommended for all adults 65 years or older. One dose of PCV13 is also recommended for adults 19 years or older with conditions that weaken the immune system, such as HIV infection, organ transplantation, leukemia, lymphoma, and severe kidney disease. 

Nexplanon implants offered

posted Dec 9, 2015, 9:21 AM by Daniel Zerbe

birth control option

NEXPLANON is a small, soft, and flexible birth control implant—it’s just 4 centimeters in length. Your health care provider places it discreetly under the skin on the inside of your upper arm. This means it’s hidden from view. NEXPLANON provides up to 3 years of continuous pregnancy prevention.* That means no more daily, weekly, or monthly dosing routine.

Once inserted, NEXPLANON is over 99% effective, just like the pill. But there’s a difference—with NEXPLANON, you don’t have to remember to take it every day.

*NEXPLANON can be removed at any time. It must be removed by the end of the third year and may be replaced by a new NEXPLANON at the time of removal, if continued contraceptive protection is desired.


posted Oct 28, 2014, 4:51 PM by Daniel Zerbe

Have you traveled to West Africa in the last 21 days? (i.e. Guinea, Liberia, Sierra Leon, Senegal, or Nigeria) If so, please call the office but do not come in until we have assessed your symptoms over the phone. 

Time for Influenza Vaccination

posted Oct 7, 2014, 2:16 PM by Daniel Zerbe

We have flu vaccine for all ages. Influenza vaccines are recommended for everyone 6 months of age and over. We are administering the vaccine at appointments and during nurse visit hours.. We provide a special High Dose flu vaccine for those 65 and over. These are not live virus vaccines, so they can be given to almost everyone and cannot make you sick with the flu. Please keep in mind that many other viruses circulate in the fall, so illness after getting the flu shot is not surprising. 


posted Oct 7, 2014, 2:12 PM by Daniel Zerbe

Our practice has recently secured the help of Talksoft to keep our patients better and more promptly informed of upcoming appointments and lab results. This will help the nurses and secretaries keep up with the increasing volumes of information we manage for our patients. For lab results, patients may get a phone message saying either 
"Results are okay" or  "'Please call the office," Even if your results are normal, please call or return to the office if you have further questions about your results. When we ask you to call the office, please do so as soon as possible, as sometimes the message the nurses have to relay to you is critical. Usually, however, we just need to pass on to you medication changes or followup instructions. 

New DOT Federal Regulations

posted May 28, 2014, 8:39 AM by Daniel Zerbe   [ updated May 28, 2014, 8:40 AM ]

Since 5/21/2014, all commercial motor vehicle drivers (CMV) who are required to be medically certified must be examined and certified by a medical examiner listed on the National Registry. Some of our providers are now authorized to provide medical examinations to commercial motor vehicle drivers in accordance with the regulations of the Federal Motor Carrier Safety Administration (FMCSA). There has been an increased emphasis placed on safety in reducing crashes, injuries, and fatalities involving large trucks and buses. The FMCSA develops and enforces these new regulations. Part of the new requirement is that we as healthcare providers need to be certified in order to provide DOT physical examinations.  
When you call to make an appointment please state that you are in need of a DOT physical because it does require more time for paperwork etc. than a typical physical examination appointment.  Also, we encourage patients to anticipate when their certification will expire and to schedule well enough in advance so as to not let their card expire. Starting to plan for this 30 days before the expiration date of your current card is wise.

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