Patient Forms

(814) 382-2945

From your home computer fill out the following 2 pages prior to your first appointment with Dr. Fox. Once completed please save and email your form to the below secure email address.

  1. Click Patient Forms to fill out both pages of the form
  2. When finished press SHIFT+CTRL+S(save on desktop)
  3. Go to desktop & double click "New Patient Forms"
  4. Send file as e-mail attachment to

Thank you and please call our office if you have any questions at all.

 This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

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