Everything you need before your visit
New patient paperwork, insurance information, and the patient portal — all in one place.
Manage your child's care online
Request appointments, message your provider, view vaccine records, and pay bills — anytime, from your phone.
Getting started at PHCA
Complete new patient forms
Arrive 15 minutes early to finish registration and medical history forms, or ask our front desk to email them ahead of your visit.
Bring insurance & ID
Bring your insurance card, a photo ID, and your child's immunization record if transferring from another practice.
Share your history
Let us know about past providers, current medications, and any concerns — the more we know, the better we can help.
Patient forms
Quickly and conveniently access patient forms before your appointment. Please bring your completed forms with you to our office at the time of your visit.
HIPAA Authorization to Release Medical Record Information
Authorize the release of your child's medical records to or from another provider.
Download Record Release FormsOver 18 HIPAA Consent Form
Required consent for patients who remain with PHCA after turning 18.
Download Over-18 Consent FormAuthorization to Release Medical Record Information
Authorize PHCA to release your child's records to another physician, practice, or facility.
Download Authorization FormFor questions regarding school, daycare, sport, drivers forms, and immunization forms, please contact Vania at (814) 944-7383, option #7.
For questions regarding medical records, please contact Robin at (814) 944-7383, option #6.
Insurance we accept
Don't see your plan? Call our office — we accept most major carriers and can verify your coverage before your visit.