Patient Forms
To save time, these forms can be filled out prior to your appointment. We ask that pediatric patients (under age 18) fill out the Pediatric Questionnaire.
| Medical Questionnaire |
| Pediatric Questionnaire |
Patient Forms
Patient Forms
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Contact Us
420 North Springfield Road Clifton Heights, PA 19018 Phone: 610-626-9124 Fax: 610-626-0901 Email: tdalonzo@aol.com After Hours Emergency: 610 745-8672 |
Office Hours
Mon 10:00 am - 6:30 pm Tue 9:00 am - 5:00 pm Wed 1:00 pm - 7:30pm Thu 9:00 am - 5:00 pm Fri 10:00 am - 5:30 pm Sat 9:30 am -1:00 pm |
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