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Registration & Forms

Patient Information Form


Before making an appointment please make sure that you have the following documents:
  1. Copy of the Child's records from your previous physician
  2. Copy of your Child's shot records
Patient Eligibility Screening Record Form

Scranton Primary Health Care Center Inc. 959 Wyoming Ave Scranton, PA 18509
Phone (570) 344-9684 / (570) 969-9662 | Fax (570) 344-6839 | Dental (570) 504-0882