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Schedule Now
New Patients: Text "Day 1" to 717-657-1620 or e-mail [email protected]
Established Patients: Text "schedule" to 717-657-1620 or e-mail [email protected]
New Patient Office Forms:
Download the following: Informed Consent, HIPPA Form, Payment Policy, & Appropriate Packet.
After downloaded, complete the information and e-mail to [email protected] or bring to your appointment.
Download the following: Informed Consent, HIPPA Form, Payment Policy, & Appropriate Packet.
After downloaded, complete the information and e-mail to [email protected] or bring to your appointment.
![](http://www.weebly.com/weebly/images/file_icons/pdf.png)
informed_consent_form.pdf |
![](http://www.weebly.com/weebly/images/file_icons/pdf.png)
hippa_form.pdf |
![](http://www.weebly.com/weebly/images/file_icons/pdf.png)
payment_policy.docx.pdf |
![](http://www.weebly.com/weebly/images/file_icons/pdf.png)
adult_intake_form.pdf |
![](http://www.weebly.com/weebly/images/file_icons/pdf.png)
pregnancy_patient_form.pdf |
![](http://www.weebly.com/weebly/images/file_icons/pdf.png)
pediatric_patient_form.pdf |