Patient Resources & Forms

What To Bring For Your Visit

• Driver's license or photo ID
• Insurance card (if applicable)
• Payment (for insurance co-pay or if you intend to self-pay)
• List of current medications
• List of past surgeries and medical conditions
• List of any allergies

How to Find Allegheny Medical

• General Directions to Allegheny Medical

Please print and fill out the appropriate forms prior to your visit. 

Patient Intake Forms

• Primary Care Patient Intake Form
• Physical Therapy Intake Form
• Weight Loss Intake Form
• Thyroid Intake Form
• Auto/Personal Injury Intake Form
• Workers Compensation Intake Form

Occupational Medicine Forms

• DOT Physical Form
• What to Bring to DOT Physicals
• Non-DOT Physical Form
• Respirator Questionnaire
• Hazwoper Employee Physical Form