Click Here to view and print our online registration forms. You can bring this information with you at your first visit, mail, or fax this information to us at570-368-2926. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
Click Here to view letter from Dr. Harlacher concerning COVID-19.
- Click Here to view COVID-19 Emergency Dental Treatment Consent form.
You need Adobe Acrobat Reader to view our form. Please download the freewww.acrobaticreader.com from adobe’sweb site if it is not already installed on your system.COVID-19 Emergency Treatment Consent (Generic)