Forms & Policies

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Downloadable Forms

(to allow stepparents or other authorized adults to accompany your child to appointments)
(for patients 18 years of age)
(to request your child's records to be transferred to another provider)

Financial Policy

Patients’ Rights and Responsibilities Policy

Vaccine Policy

HIPAA Policy

Pets/Service Dogs Policy

Mechanicsburg Office
• 2025 Technology Parkway, Suites 108 & 109 (717) 791-2680
Camp Hill Office • 25 West Shore Drive (717) 791-2680