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New Patients

Please download/print and fill in or type within the PDF form and print. The forms can be faxed to 814-235-0484 or scan/ attach and send by email to plm@martinsuhey.com. If you do no have access to a fax/email, please bring the forms with you to your initial visit.

Form Name PDF
Med List Form PDF
Benefits/Financial Responsibility PDF
Confidential Patient Profile Print PDF
Confidential Patient Profile (Fill Out Digitally) PDF
Notice of Privacy Practices PDF
Consent form for Release of Medical Information PDF