Click on the links below so you can print the necessary forms and fill them out so that when you come for your first appointment we can expedite the process and you can see your provider as soon as possible.

All clients receiving services via Telehealth must fill out, sign & return the following form.  Please print clearly & legibly:

All clients 14 years old and up please fill out the following forms

All clients 0 to 13 years old please fill out the following forms

All returning clients  must fill out the proper paperwork for their age group

All you need to do is contact us at 717-581-5255 or for appointments at the York office call 717-755-5736 and we will do the rest to ensure you or your loved one gets to one of our highly trained specialists as soon as possible.