Hyndman Area Health Center30 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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Hyndman Area Health Center: 814-842-3206 fax: 814-842-3746
Medical available Monday through Friday.  Dental available Monday through Thursday. 
Evening hours available.  Please call for appointment.

Bedford Office: 814-623-8222 fax: 814-623-2223
Medical only available Monday through Friday.
Evening hours available.  Please call for appointment.

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

Site Copyright 2003-2010 Hyndman Area Health Center
Site Updates by Brandi Winck,Aerial Communications