30 years of service to the community
Hyndman Area Health Center
144 Fifth Avenue, Hyndman, Pennsylvania 15545
112 North Richard Street, Bedford, PA 15522
Hyndman: 814-842-3206 | Bedford: 814-623-8222
Health Care for the Entire Family
Accepting New Patients


Applications
and Forms:
Sliding Fee Application
Medical History Form
Dental History Form
Financial Policy

Medical Forms for First Time Patients
Patient Registration Form | HIPPA Results Letter | Consent to Disclose
View or print from this page or click on the links below for the form in Word doc format or as a PDF file

Patient Registration Form in Word doc format | Patient Registration in PDF format

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Hippa Results Notification Letter in Word doc format | Hippa Results Notification Letter in PDF format

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Consent to Disclose Information in Word doc format | Consent to Disclose Information in PDF format

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Bedford Office Now Open 5 Days a Week

Hyndman Area Health Center: 814-842-3206 fax: 814-842-3746
Hyndman Medical Office hours: Tuesday, Wednesday and Friday 8 am to 5 pm
Monday 8 am to 8 pm
Hyndman Dental Office hours: Monday through Friday 8 am to 5 pm

Bedford Office: 814-623-8222 fax: 814-623-2223
Bedford Office hours (medical only): Monday, Wednesday, Thursday and Friday: 8 am to 5 pm
Tuesday 11 am to 8 pm

All major credit cards and insurances accepted. Sliding fee discounts and Patient Drug Assistance Program available for uninsured, underinsured and Medicare patients. Walk-in and Access patients welcome.

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Link for staff email

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