Patient Forms

We offer our paperwork online so you can complete it in the convenience of your own home. Please complete the necessary forms in their entirety as best you can. These will help speed up your first encounter and make the visit go much more efficiently. Only complete the Auto/Personal Injury Questionnaire if your complaints are from such an instance.

If you are experiencing multiple issues please fill out each complaint thoroughly on the New Patient Health History Form. For example: Neck pain with or without related headache or arm pain would be one complaint and Low Back Pain with or without leg pain would be a separate complaint. Don't hesitate to call our office if you have any questions. Thank you!

New Patient Health History

Download & Print Form

Questionnaire for Auto and Personal Injury Patients (to be completed in addition to Health History Form)

Download & Print Form

New Questionnaires For Workers Compensation Patients (to be completed in addition to Health History Form)

Download & Print Form

Contact Us

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Our Location

565 National Pike West | Brownsville PA, 15417

Office Hours

Find Out When We Are Open

Monday:

8:00 am – 12:00 pm

3:00 pm – 7:00 pm

Tuesday:

2:00 pm - 6:00 pm

Wednesday:

8:00 am – 12:00 pm

3:00 pm – 7:00 pm

Thursday:

2:00 pm – 6:00 pm

Friday:

9:00 am – 2:00 pm

Saturday:

Closed

Sunday:

Closed