Our Online Forms


Please call to schedule your first appointment. (717) 394-2444

You can print off your first visit forms online using the links below.

(The "Child Health Survey" only needs to be printed if your child is 12 or under.)



New Patient Intake Form

Download & Print New Patient Forms


Child Health Survey
[Only for Patients 12 and under]

Download & Print Form

Patient Testimonial #5


**WEB SPECIAL**

INITIAL VISIT - ONLY $50

Our Locations