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Allegheny Physical Medicine, P.C.

6040 Library Road

Bethel Park, PA 15102 US

(412) 831-2225 (BACK)

Online Forms

Allegheny Physical Medicine, PC offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Auto Accident Form- Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Workers Compensation - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form

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CONTACT US TODAY

We look forward to hearing from you

Our Location

Office Hours

Allegheny Physical Medicine, PC

Monday:

8:00 am-7:00 pm

Tuesday:

8:00 am-8:00 pm

Wednesday:

8:00 am-7:00 pm

Thursday:

8:00 am-4:00 pm

Friday:

8:00 am-7:00 pm

Saturday:

8:00 am-11:00 AM

Sunday:

Closed