Patient Forms

Initial 1st visit
For your convenience you may print these forms out and fill them out and bring them with you to save nearly 20 minutes on your first visit.

Child (Newborn to 12 yrs old) 1st Visit
For your convenience you may print these forms out and fill them out and bring them with you to save nearly 20 minutes on your first visit.

Automobile Accident 1st visit
For your convenience you may print these forms out and fill them out and bring them with you to save time on your first visit.

Work Related Injury 1st visit
For your convenience you may print these forms out and fill them out and bring them with you to save time on your first visit.

Vaccine Exemption
In most states including Pennsylvania you are NOT required to vaccinate your child. However, if you wish to not vaccinate you must have a signed exemption. This exemption is found on the back of the "official" vaccination form. However, most schools copy only the front of the form and not the exemption.

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