If your child is up to date with well visits, complete the form below to have one of the standard forms completed.

If your child has not had a well visit in the last 12 months, please schedule one and we will be happy to complete your forms during the visit.

Please download the form(s) you need, print/complete the necessary sections, and upload below for physician completion.
PIAA Sport’s Form   |   PA Department of Health School Physical Exam Form   |   PA Driver’s Permit App with required Med Exam Form   |   PA Daycare Child Health Report Form

Form Completion Request

Please allow 72 hours to complete.
Max. file size: 100 MB.

Please note: There is a $15 fee for forms completed outside of an office visit. Please pay at front desk when you pick up your completed forms. Thank you.

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