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Lancaster County: (717) 299-4871
Lebanon County: (717) 277-7005
Request an Appointment

Request an Appointment

Please complete this form to schedule an appointment. If you have any questions feel free to contact us at 717-299-4871. One of our representatives will be in touch shortly to confirm all details for your appointment.

Appointment Request Form

Please do not use this form if you have an urgent medical problem or you need to re-schedule an existing appointment. Instead, please contact our office at (717) 299-4871 or (717) 277-7005.

Be sure to bring any diagnostic films or other test results that may have been ordered or performed by another physician.

If you are a new patient, you may complete the new patient forms prior to your appointment, which will save you time in the office.

Referring physicians:  So that we can offer the best care for your patient please call us at 717-299-4871 or 717-277-7005 and select #2, this will connect you directly with a physician administrative assistant.