Patient Forms

registration_form.pdf
File Size: 767 kb
File Type: pdf
Download File
hippaa_form.pdf
File Size: 700 kb
File Type: pdf
Download File
NEW TO OUR OFFICE? 

SAVE TIME AND FILL OUT YOUR "PAPER WORK" BEFORE YOU COME FOR YOUR APPOINTMENT.
Contact Us
34 South Main Street Suite 5
Wilkes-Barre, PA 18701
Phone: 570-822-8727
 Office Hours:
Monday 9am-4pm
Tues & Thu 11am-6:30pm
Fri: 10am-2pm
Sat: 9am-1:30pm (Alternate weeks)
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