Hershey Pediatric Center is dedicated to providing you with the highest quality, cost effective medical care. We accept all major credit cards and offer payment installments.
NEW PATIENT SIGNUP
Your First Office Visit
Thankyou for considering us for your child's patient care. Please assist us by providing the following information when you arrive for your first office visit. You can click on a link to download a PDF file version of the form.
Ethnicity form - click here
New Patient form- click here
Medical Release form - click here
(Note: this should be mailed to your previous Doctor before scheduled appointment)
Receipt for Notice of Privacy Practices & Consent to Bill Insurance - click here
Financial Policy - click here
If you would like to schedule an appointment please call 717-533-7850. Please arrive 15 minutes prior to your scheduled appointment. It is now our policy to have you bring and present insurance cards for your children at all visits.