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Meet the Staff   Forms & Preparation
    Be prepared for your first visit to our office. Feel free to print off, fill out and bring the forms with you to help you skip the wait time to see Dr. Rundorff. We understand that your time is valuable and your condition is urgent.

If you are having trouble filling out your forms, please feel free to contact us at (814) 539-0257 for further assistance.

New Patients    

Please click below to identify the form you wish to print, fill out and bring with you on your upcoming appointment:

green button   Forms
Skip the wait time and fill out your forms before your scheduled appointment
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green button   Workers Compensation
Forms and Preparation
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green button   Records, Release & Privacy Notice
Know your rights for confidentiality
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green button   Medical History
Be prepared with documents and x-rays for your upcoming exam
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green button   Click Here for a List of Insurances Accepted
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  MedTrak Logo   Miner's Medical Center   Conemaugh Health System   Windber Medical Center  
Copyright © 2011 Robert Rundorff, MD