Patient Forms

We offer our patient forms online so they can be completed in the convenience of your own home or office before you arrive for your appointment. 

  • If you do not already have AdobeReaderĀ® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Bring your completed form(s) with you to your appointment.


Patient Intake Form

HIPAA Form

Our Location

1001 McKean Ave. | Charleroi, PA 15022

Office Hours

Our General Schedule

Monday:

9:00 am-6:00 pm

Tuesday:

3:00 pm-7:00 pm

Wednesday:

9:00 am-6:00 pm

Thursday:

Closed

Friday:

9:00 am-5:00 pm

Saturday:

10:00 am-12:00 pm

Sunday:

Closed

Contact Us Today!

We look forward to hearing from you.