You are more than welcome to print out and complete these forms prior to your appointments. If you cannot we will provide below forms at the time of your appointment to fill out.
Click below to download:
Patient Records Release – release form to send or receive records from a different office
Patient Information – new patient paperwork, basic demographic information
Patient Authorization – HIPAA form
Medical History – form listing all past medical history
1254 Lititz Pike, Lancaster: Monday – Friday, 8am-5pm
606 Community Way, Lancaster: Monday – Friday, 8am-5pm
Ephrata Office: By appointment only
Phone: (717) 397-4724
Fax: (717) 397-6687
Text: (717) 734-5802
