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Patient Forms

Please feel free to download, print and fill out the patient forms prior to your appointment in order to expediate your time with us.

New Patient Information

New Patient
Medical History
Patient Information
Financial Policy
Notice of Privacy Practices
Privacy Policy Acknowledgement

Ludwick Laser & Surgery Center Forms

Lifestyle Questionaire
Lehigh Patient Information

Please note: These documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.

Chambersburg Office
(717) 262-9700
Hagerstown Office
(301) 797-8788
Waynesboro Office
(717) 762-1158

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