Information for

Current and

Prospective Patients

 

Please print and complete the following PDF forms and bring them to your first appointment.


Please call the office at 610-668-1338 or email maryellen@velahos.com if you have any questions or difficulty downloading these forms

Patients_files/Cancellation%20Policy%20Form.pdf
Cancellation Policy FormPatients_files/Cancellation%20Policy%20Form_1.pdf
Patients_files/Informed%20Consent.pdf
Informed ConsentPatients_files/Informed%20Consent_1.pdf
Patients_files/New%20Patient%20Welcome.pdf
New Patient WelcomePatients_files/New%20Patient%20Welcome_1.pdf
Patients_files/Notice%20of%20Privacy%20Practices%20Acknowledgement.pdf
Notice of Privacy PracticesPatients_files/Notice%20of%20Privacy%20Practices%20Acknowledgement_1.pdf
Patients_files/Office%20Intake%20Form.pdf
Office Intake FormsPatients_files/Office%20Intake%20Form_1.pdf