Respiratory

Specialists'

Pulmonary

Medical

Practice

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 Academy of

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   √ New Patient Forms

 

Our New Patient Forms that will download after you click on the New Patient Forms button below are in a "fillable" .PDF file that cannot be submitted electronically from this Web site.

Instead, you must print out the forms and bring them with you on your first visit to our office, but please continue reading this page.

NOTE: After you click on and try to type into the first fillable data entry field, there will be a delay of 30 seconds until Adobe Reader displays a message box - close the message box and you can proceed to enter data.

 

Our new "fillable" forms provide you the convenience of using your computer to type necessary information directly into these forms before you print them out to bring them to our office for your first visit. This saves time for both you and our office staff, and offers far higher accuracy in capturing your information correctly.

 

When you click on the New Patient Forms button below, you'll download the fillable .PDF file   Doctor Visit New Patient Forms (19 pages) - for your first visit to the doctor's office. 

 

After you have downloaded the forms and are viewing the forms on your computer monitor,        if data entry fields where you can type necessary information are not highlighted, there may be a small check box in the upper right hand corner of the form's window with the words Highlight fields that you can click to cause the data entry fields to become highlighted.

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Because this is a .PDF file, you will need to have the FREE Adobe Reader installed on your computer.

 

*If you don't have the FREE Adobe Acrobat Reader installed,

first CLICK the Get Adobe Reader® stamp below:

    

    

 

With Adobe Reader installed, you're now ready, so click the button below and begin downloading!

 

      New Patient Forms

 

 

 

Respiratory Specialists and Sleep Health Center

The sole practice in Berks County with five Board Certified Sleep Physicians™

2608 Keiser Blvd. · Wyomissing, PA 19610

 (610) 685-LUNG (5864)

The Practice of Respiratory Specialists is Limited to Pulmonary Medicine, Sleep Medicine, and Critical Care Medicine,

 with Active Staff Privileges at St. Joseph Medical Center and The Reading Hospital and Medical Center, and

Consulting Staff Privileges at HealthSouth Reading Rehabilitation Hospital

         © Copyright 2006-2012 Respiratory Specialists. All rights reserved.

 Design & Photos by  TheWebJockeys.com

 

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