740-687-6386
1-800-222-1222
In this section...
Forms
New Patient Packet
Transfer Records Request
Patient Demographic Forms
Patient Portal Instructions
Prenatal Visit Questionnaire
Ohio School Athletic Association Preparticipation Physical Evaluation
New Patient Questionnaire
Patient Consent for Use and Disclosure of Protected Health Information
M-CHAT (Modified Checklist for Autism in Toddlers)
Office and Financial Policy
Pediatric Associates of Lancaster, Inc.
1550 Sheridan Drive, Suite 102
Lancaster, OH 43130
Phone: 740-687-6386
Fax: 740-687-1388
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