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.
Registration & Records
Patient Information Form
File size: 58.45 KB
Created: 08-20-2020
Updated: 08-20-2020
Hits: 1276
Record Release of Information
File size: 188.06 KB
Created: 08-20-2020
Updated: 11-13-2020
Hits: 4253
Confidentiality Agreement
File size: 379.83 KB
Created: 08-20-2020
Updated: 08-20-2020
Hits: 759
For Record Releases: Please fax to 814-266-8863 or drop off at any office location.
School & Sports
PIAA Sports Physical Form 2026-2027
File size: 310.36 KB
Created: 04-22-2026
Updated: 04-22-2026
Hits: 2511
Child Health Assessment (Daycare)
File size: 64.83 KB
Created: 08-20-2020
Updated: 05-02-2026
Hits: 405
Learner's Permit Application
File size: 1.01 MB
Created: 04-22-2026
Updated: 04-22-2026
Hits: 117
Clinical & Screenings
Depression Screening Survey
File size: 101.08 KB
Created: 08-20-2020
Updated: 08-20-2020
Hits: 243
Medical Surgical Consent Form
File size: 19.47 KB
Created: 08-20-2020
Updated: 08-20-2020
Hits: 221
Dental Varnish Treatment Instructions
File size: 31.99 KB
Created: 08-20-2020
Updated: 08-20-2020
Hits: 207
Community Action Form
File size: 215.10 KB
Created: 08-20-2020
Updated: 08-20-2020
Hits: 218
Office Policies
HIPAA Privacy Policy (Revised 2022)
File size: 249.23 KB
Created: 01-27-2022
Updated: 01-27-2022
Hits: 238
Co-Parenting Patient Portal Expectations
File size: 416.57 KB
Created: 08-20-2020
Updated: 08-20-2020
Hits: 294
A Physical Exam Is More Than Just Filling Out A Form
File size: 126.06 KB
Created: 04-23-2021
Updated: 04-23-2021
Hits: 316
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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.