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Because we want your visit to our office to go as smoothly as possible, you can now fill out important forms ahead of time.
You can right click and "save as..." each link below to your desktop in order to print out a hard copy. Then you can fill out the form ahead of your visit. Or you can save it to your desktop, fill it out, and email the form to us at firstname.lastname@example.org.
Please right click and chose "save as..." to save this medical history form to your computer. You can then either attach it in an email and send it to our office ahead of your visit, or you can print it out and bring it in with you.
Please right click and chose "save as..." to save this registration form to your computer. You can then either attach it in an email and send it to our office ahead of your visit, or you can print it out and bring it in with you.
If you need any assistance with these forms, please call the office at 724-837-8282.
If you have questions about either of these forms or anything pertaining to your appointment or treatment, please call our office. We are available to offer you assistance in any way you need.
If you would like assistance understanding your insurance coverage, deciphering what services are covered, and submitted a claim, we would be happy to assist with that as well.