Forms - Sadler Health Center
After-Hours Care: Call 717-218-6670
Medical Emergencies: Dial 9-1-1

Forms

The following patient forms can be downloaded, filled out directly on your device and printed.

Registration Form

Annual Authorizations

Consent to Treat Minor Child

Dental Adult Health History

Dental Child Health History

Medical Records Release Form

Notice of Privacy Practices

Patient and Center Rights and Responsibilities

*The files above are in PDF format and can be opened by most web browsers. Acrobat Reader is also supported.

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