Forms & Policies – Waynesboro Family Medical Associates

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Forms & Policies

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Pediatric Health History
Adolescent Health History
Adult Health History
Authorization for Release of Medical Records
Financial Policy
Cancellation / No Show Policy
Notice Of Privacy Practices

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Waynesboro Family Medical Associates

Phone 717-762-9118

Fax 717-762-2860

1051 E Main St
Waynesboro, PA 17268

14961 Buchanan Trail East
Blue Ridge Summit, PA 17214

Email staff@waynesborofamilymedical.com

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Our Team
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Dr. Gallo’s Blog
Forms
Contact Us
Patient Portal