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Schedule Appointments

If you would like to schedule an appointment we offer two convenient ways to do so. Appointments can be made by calling the office (717) 268-4001 or online below.

Office hours - 8 am to 5 pm

When possible, please arrive at least 20 minutes early for your appointment for registration, insurance paperwork and to complete a health survey.

New Patient Registration Form - PDF

When you come for your appointment, please remember to bring the following:

Identification
Insurance card and any co-pay information
List of current medications and any surgeries during the last 12 months
Form of payment

Online Appointment Form

Personal Information

First Name:	A value is required.
Last Name:	A value is required.
Date of Birth:	ex: 01/01/2009
Telephone:	ex: 555-555-5555
E-mail Address:

Address Information

Street Address 1:
Street Address 2:
City:
State:	example: PA
Zip Code:

Insurance Information

Insurance Carrier:
Policy Number:
Group Number:

Reason for Appointment

Appointment Date Requested:	example: 01/01/2009
Reason for Appointment:

To cancel an appointment:

If you need to cancel your appointment, we are happy to oblige. Please call the office during business hours and provide at least one day's notice so that your appointment time can be allocated to another patient who is seeking treatment.