Patient Forms

Our Privacy Notice
Privacy Notice.pdf
Adobe Acrobat document [55.9 KB]

New patients will need to fill out several forms before therapy can begin. To make the process as smooth and efficient as possible, we provide the most important documents as downloads right here on our website.

 

Find out which forms you need to submit, select the appropriate download link and return the completed documents to our practice either in person, by fax or as a scanned PDF file via e-mail. Naturally, all forms are also available at the practice; however, filling them out in advance saves time.

If you are unsure which forms to fill out, don't hesitate to contact us.

Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.

Old Forge Office

501 South Main Street
Old Forge, PA 18518
(570) 457-4099
Fax: (570) 457-7205

Peckville Office

1333 Main Street
Peckville, PA 18452
(570) 383-8841
Fax: (570) 383-8979

Hamlin Office

501 PA-590
Hamlin, PA 18427
(570) 689-7786
Fax: (570) 689-7837

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