Patient Forms & Information

Below you will find patient forms that you can print and complete prior to coming to our office.

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Notice to
Patients

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New Patient Packet
(Medical)

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New Patient Packet
(Dental)

Glendale Area Medical Assoc.

850 Main Street

Coalport, PA  16627

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After Hours Call
814-317-1945.
For Life-Threatening Emergencies Call 911

Federal Funding

  • Health Resources and Service Administration

 

Malpractice Insurance

  • FTCA (Federal Tort Claims Act)