Appointments: 

Phone:  717-652-7616
Fax:  717-909-3204

DOCUMENTS FOR DOWNLOAD


In order to ensure that your visit goes as smoothly as possible, please feel free to print and complete any of the forms BELOW that may be applicable to your visit. Arriving with all necessary paperwork greatly assists our staff in creating and updating your file while limiting your overall wait time.  For new patients, the first 3 documents below will be necessary.

If you have any questions about any of the following forms, please contact a member of our staff for more information.  Please bring any forms you've completed along to your visit and plan to arrive 10 - 15 minutes prior to your appointment time.



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Your Child's Health Matters