Patient Registration Forms

Because we respect your time, we’ve made our New Patient Registration and Health History Forms available for you on this site.

By completing our Patient Forms in advance and printing them out to bring with you, you’ll save time during your first visit.

Please don’t hesitate to call us at Lancaster Office Phone Number 717-560-9190  if you have any additional questions.

• Patient Registration Form
• Health History Form
• Financial Policy Form

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New to Our Office?

• Learn More about Dr. Weierbach
• Read Our Patient Testimonials
• Schedule An Appointment Online
• What to Expect At Your First Visit
• Learn About Our New Patient Specials
• Dental Insurance Information
• Payment Options
• Get Driving Directions

Call Lancaster Office Phone Number 717-560-9190 with any questions or to schedule your consultation!

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