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(814) 266-8840

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(814) 266-8840

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(814) 266-8840

1322 Eisenhower Blvd.
Johnstown, PA 15904






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Alum Bank


If you would like to cut down on the amount of paperwork that you will have to do when you arrive at our office, print out the forms you need below. You can fill them out at your convenience and then bring them with you to your appointment.

Click on a form to view and then download or print it. You may also right-click a form and select “save link as” or “save target as” to download it.

Notice: Never send private information via email. These forms are meant to be printed out and personally delivered by you.

Child Health Report (Daycare Form)

Co-Parenting Patient Portal Expectations

Community Action Form

Confidentiality Agreement

Dental Varnish Treat

Depression Screening Notice

Driver's Permit Physical Form

HIPAA Privacy Policy

Medical and Surgical Content

Patient Information Form

PIAA Physical Form

Record Release

School/Private Physical Form

Visitor Policy