Forms:
Forms can now be downloaded, printed and completed prior to coming to the clinic.
Remember, please do not complete the forms and simply show up at the clinic.
The only thing we can do if you show up without an appointment is to accept your forms and place them in a folder for possible future use.
All visits must be scheduled by calling the clinic at 570-752-1780.
Please complete all the forms listed below. A copy of the form can be obtained by clicking on the link and printing the form:
Page 1 of the patient checklist
Page 2 of the patient checklist
Page 3 of the patient checklist
Page 4 of the patient checklist
Page 5 of the patient checklist
Thank you.