The new patient forms let us know the history and current state of your health. What questions, concerns and goals regarding wellness can we help you with? Let us know! Patient forms are online so you can complete them in the convenience of your own home or office. If you do not already have AdobeReader® installed on your computer, click here for the Free AdobeReader® download.
Click on the necessary form, print it out and fill in the required information.
Intake Paperwork
Auto Accident
Pediatric
Fax us your printed and completed forms at 717-285-0021 or bring them with you to your appointment and save time on your visit!
Individuals in need of our services and who are worried about the high costs charged by many other clinics need not worry. We have highly affordable rates allowing access to high-quality care for you and your family.
We believe in the value of wellness care for you and your family and have maintained a pricing structure that allows care for all budgets. We accept auto accident and workers compensation cases.
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