(opens in a new tab)
Authorization for Release of Medical Information(opens in a new tab)
HIPAA NPP and Authorization to Use and Disclose PHI(opens in a new tab)
Flu Visit Form (For Children)(opens in a new tab)
Flu Visit Form (For Parents)(opens in a new tab)
HIPAA Notice of Privacy Practices(opens in a new tab)
New Patient Enrollment Packet(opens in a new tab)
PIAA Sports Physical Form(opens in a new tab)
PA Learners Permit Application(opens in a new tab)
PA School Examination Form(opens in a new tab)
Appointments(opens in a new tab)(717) 299-8933
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