2182 Sandy Drive, Suite 102

State College, PA 16803

(814) 234-4444

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New Patient Forms


Welcome Letter

Detar’s Reward Program Enrollment Form

Patient Information Form

HIPAA Form

HIPAA Patient Record Disclosure Form

Records Release Request Form

Medical History

MAP

Office Hours

Monday:

8:00 am-4:30 pm

Tuesday:

8:00 am-5:30 pm

Wednesday:

8:00 am-4:30 pm

Thursday:

8:00 am-4:30 pm

Friday:

8:00 am-4:30 pm

Saturday:

Closed

Sunday:

Closed

Contact Us Today!

We look forward to hearing from you.