Patient Forms

This page includes our patient forms for your convenience. If you should have any questions regarding our forms, please call us at (717) 241-9355.

New Patient Enrollment Form - If you are a new patient or have not been seen in over a year

Personal Injury History - If you are being seen for injuries related to a car accident

Worker's Compensation History - If you are being seen for injuries related to a work injury

Personal Training Client Enrollment Form - If you are being seen for a personal training consultation

Ideal Protein Weight Loss Enrollment Form - For new clients beginning our Weight Loss Program

Notice of Privacy Practices - Explains how your private health information is protected by our office