icon-online

eCare Patient Portal

Get Directions


Holy Redeemer
Medical Office Building
1650 Huntingdon Pike, Suite 118
Meadowbrook, PA 19046

Hours

Mon - Fri 7:00am – 7:00pm 

PATIENT FORMS


Welcome to the Deeney & Associates family. In order to make your first appointment go as quickly and smoothly as possible, please print and complete the following forms and bring them to your appointment along with your insurance card, copay, a photo ID and medical records from your prior OB/GYN if you have them. If you’re a new patient, please arrive 15 minutes before your scheduled appointment time.

 

PDF TX-65Patient Information

 

PDF TX-65Authorization to Speak to Another Regarding Medical Care

 

PDF TX-65Consent for Financial Responsibility

 

PDF TX-65General Consent to Treatment

 

PDF TX-65Authorization for Access or Release of Protected Health Information

 

 

Payment/copay is expected at the time of your appointment. We accept cash, check, VISA, MasterCard, American Express and Discover.

 

health-link fb health-link yt health-link txt

© 1999-2018 Holy Redeemer, All Rights Reserved   |   Privacy & Security   |   Disclaimers

Get Directions

Holy Redeemer
Medical Office Building
1650 Huntingdon Pike, Suite 118
Meadowbrook, PA 19046

Hours

Mon - Fri 7:00am – 7:00pm 

icon-online

eCare Patient Portal