- Patient Forms
- Informed Consent Forms
- Lab Results
- Health Information Links
- Frequently Asked Questions
- Patient Portal
- Contact Us
Patient Forms
- Prenatal Questionnaire (DOC)
- Records Release Form (DOC)
- Maternity Pre-Admission Form (PDF)
- Personal History (DOC)
- Urinary Incontinence Questionnaire (PDF)
- HPV Test (DOC)
Medical Records Release Instruction
In order to release your medical records, we must have your request in writing. You may come to either office and complete a medical records release form, or you may send us a letter by mail or send a request by fax to our Lebanon office at (717) 273-0728.
In your request, please include the reason as well as where you would like the records sent, your date of birth and a daytime phone number where we can reach you if we have any questions. A signature is required for release of medical records. If they must be sent and received by a certain date, please let us know this as well.
Once the release is received, it can take up to two weeks before the records are ready. There may be a fee for the release of your records. We follow state guidelines for charges associated with the release of medical records. If there will be a charge, a staff member from our office will contact you directly.
Once copies have been made, the records must either be mailed to you or your new physician or they must be picked up in our office. This is for your own protection due to the confidential nature of your medical information.
Should you have any questions regarding the above information, please contact our office.
Informed Consent Forms
- AMNIOCENTESIS AND PRENATAL DIAGNOSIS
- COLPORRHAPHY (ANTERIOR AND/OR POSTERIOR)
- COLPOSCOPY WITH BIOPSIES
- HYSTEROSCOPY, DILATION AND CURETTAGE
- DIAGNOSTIC/OPERATIVE LAPAROSCOPY
- ENDOMETRIAL ABLATION
- ENDOMETRIAL BIOPSY
- ESSURE HYSTEROSCOPIC TUBAL OCCLUSION
- HYSTEROSONOGRAPHY
- IUD (Intrauterine Device) INSERTION
- LAPAROSCOPIC HYSTERECTOMY
- LOOP ELECTRICAL EXCISION PROCEDURE (L.E.E.P.)
- OBSTETRICAL PROCEDURES
- ABDOMINAL HYSTERECTOMY WITH POSSIBLE BILATERAL SALPINGO OOPHORECTOMIES
- ABDOMINAL HYSTERECTOMY
- TRANSVAGINAL TAPE
- STERILIZATION BY TUBAL LIGATION (Laparoscopic Method)
- VAGINAL HYSTERECTOMY
- OBSTETRICAL PROCEDURES (Vaginal Birth after Cesarean Section)
Health Information Links
Local Hospitals
Pregnancy Guide
- Before You Get Pregnant
- Staying Healthy During Pregnancy
- 9 Month Miracle
- Special Care Pregnancies
- Planning For Baby's Arrival
- Labor & Delivery
- Baby's First Few Weeks
- The Baby CD
- Your Baby's Health
Medical Procedures
General Information/Research Sites
Menopause
Herpes Information
- Reading Materials
- Free Handbook
- Order Own Test
- Diagnostic Information
- Meetings
- International Perspective
- Information On The gG Tests
- Financial Assistance
Frequently Asked Questions
Can I be seen in either office?
Yes. All of our providers see patients in both office locations. All of our charts are stored in our Lebanon Office and are transported to Palmyra daily for scheduled appointments. Routine appointments may be requested at either location. If you are having a problem, however, and request a specific provider, the first available appointment may not be available at your location of choice.
Are all providers accepting new patients?
Yes. All of our providers are accepting new patients at both locations. Dr. Paterniti, Dr. Clark, Dr. Christman are all GYN-only and are accepting only GYN patients.
Do I need a referral?
Pennsylvania Act 68, which went into effect January 1, 1999, now allows women direct access to obstetricians and gynecologists. Some restrictions do exist for self funded plans. Therefore, in most cases, you do not need a referral for either an annual examination or a problem visit, and you may schedule your visit with us directly. Please contact your insurance company directly for your plan's requirements.
Can I have my blood work done in your office?
Blood can be drawn in the Hyman Caplan Pavilion in a separate office or at a blood draw location of your choice.