PH: 717-394-3033

Patient Resources

Current Patients

To request an appointment online, please complete the Appointment Request Form.  A Scheduling Coordinator will contact you within the next business day. If your situation is an emergency, we urge you to call us directly.

Online Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Printable Forms

Our New Patient Forms are now available for download so you can complete them at your leisure - saving you time waiting in our office and giving you time to carefully review our policies and procedures. If you would like to complete the forms before arriving at our office, please click the links below to download the forms in PDF format. You may print out the forms and bring them to your first appointment.



Our printable forms require Adobe Acrobat Reader to view. If you do not have Adobe Acrobat Reader, you may click the link below for a free download.

First Visit

Your initial appointment will consist of a consultation explaining your diagnosis and treatment options. Occasionally, surgery can be performed the same day as the consultation. However, a complex medical history or treatment plan will require an evaluation and a second appointment to provide time to prepare for proper individualized treatment on another day.
Please assist us by providing the following information at the time of your consultation:

  • Your surgical referral slip and any X-rays if applicable.
  • A list of medications you are presently taking.
  • Medical and Dental insurance cards.
  • Please take advantage of our online forms for patient registration.
  • Photo Identification (drivers license, military ID)

IMPORTANT: All patients under the age of 18 years of age must be accompanied by a parent or guardian at the consultation visit.

X-Rays

If your dentist or physician has taken x-rays, you may request that they forward them to our office. If there is not enough time, please pick them up and bring them to our office. If additional films are necessary, they can be taken at our facility.