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White Rose Ob/Gyn
1225 East Market St.
York, PA 17403
| Phone: |
(717) 845-9639 |
| Fax: |
(717) 699-1300 |
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Patient Information Forms
For your convenience listed below are the necessary forms that you will need to have completed before your first appointment.

| New Patient Information |
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| Please download, fill in and bring this form to your first visit. |
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