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Patient Forms

Streamline your visit by completing your paperwork beforehand.

Prepare for Your Visit

Save time at the office by printing and completing your paperwork at home. Find all registration, school, and clinical forms organized below.

Patient Forms Illustration
Registration & Records

Patient Information Form

Record Release of Information

Confidentiality Agreement

For Record Releases: Please fax to 814-266-8863 or drop off at any office location.
School & Sports

PIAA Sports Physical Form 2026-2027

School Health Form

Child Health Assessment (Daycare)

Learner's Permit Application

Clinical & Screenings

Depression Screening Survey

Medical Surgical Consent Form

Dental Varnish Treatment Instructions

Community Action Form

Office Policies

HIPAA Privacy Policy (Revised 2022)

Visitor Policy

Co-Parenting Patient Portal Expectations

A Physical Exam Is More Than Just Filling Out A Form

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Transferring to our practice?

Please fax your Records Release form to 814-266-8863 or drop it off at any location.

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