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Patient Forms & Additional Information

Save time by filling out forms at home! Once you've filled out the appropriate forms either:

  • Bring them with you to your appointment
    - or -
  • Fax them to us at (412) 572-6174 (Make sure to put "Attention: Tina" on your cover page)

Patient Forms

Patient Registration Form
Medical History Form

Additional Information

New Patient Information
Information on Requesting an Appoointment
Walk-In Pregnancy Testing Information
Pre-Surgery Information
Prescription Renewal Information

 

 

 

 

 

 

 

 

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