Skip to content
Home » Patient Forms and Consents

Patient Forms and Consents

NEW PATIENT FORMS

Please print and fill out all forms and bring them with you to your appointment.

FORMULARIO DE PACIENTE NUEVO (En Español)

Imprima y complete todos los formularios y llévelos a su cita.

MEDICAL RECORDS RELEASE

If you wish for us to send records to another provider or facility.

Palmer Office

The Health Center at Palmer Township, 3701 Corriere Road, Suite 17, Easton, PA 18045
(610) 821-2828 | (610) 821-7915 (fax)

information@epgi.org

Office Hours:
Monday-Friday
Hours Vary

Notable point:
Our telephone/patient calls will be answered starting at 9:00 am daily

Allentown Office

1501 N. Cedar Crest Boulevard, Suite 110, Allentown, PA 18104
(610) 821-2828 | (610) 821-7915 (fax)

information@epgi.org

Office Hours:
Monday-Friday
7:30am-5:00pm

Notable point:
Our telephone/patient calls will be answered starting at 9:00 am daily