717-791-2680
(717) 791-2680
You may download and print the following PDFs from the list below. You will need Acrobat Reader to view these files.
Parent Access Form
For patients 18 years and older who wish to authorize a parent to have access to his/her records
Consent to Treat Form
For authorizing a stepparent or another adult to accompany your child to an appointment and receive information about his/her care
Authorization to Release PHI
For transferring your child's records to a new provider OR requesting your child's records from his/her previous provider
1824 Good Hope Road, Suite 201
Enola, PA 17025
Phone: 717-791-2680
Fax: 717-791-2686
Hours: M-F 7:50am - 4:30pm(Weekends by Appointment)
25 West Shore Drive
Camp Hill, PA 17011
Fax: 717-909-6803
Hours: M-F 7:50am - 4:30pm
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AAP Healthy Children Website Write a description for this list item and include information that will interest site visitors. For example, you may want to describe a team member's experience, what makes a product special, or a unique service that you offer.
(Weekends by Appointment)
