This page contains forms that might need to be filled out before your appointment. Filling out these forms will save time when you arrive for your appointment.
Please read all forms carefully and fill them out the best you can.

If you have any questions please don’t hesitate to call our office. 570-288-9070.
Initial Patient Information Forms(3 Pages) – Required*
Sedation instructions FOR MORNING surgery BEFORE 12:00pm
Sedation instructions FOR surgery AFTER 12:00pm
Technical Note:
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