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Lebanon Valley
Family Medicine

Palmyra Office
1400 South Forge
Road, Suite 1
Palmyra, PA 17078
(MAP)

Phone: (717) 838-1301
Fax: (717) 838-5811

Prescription refills:
(717) 838-0339

Harpers Office
10484 Jonestown Rd
Annville, PA 17003
(MAP)

      John P. Welch, M.D.

      J. Kent L. Wagner, M.D.

      Mark W. Leach, M.D.

      Jenny S. Lee, M.D.

      David A. Keller, M.D.

      John Benson Welch, M.D.

      Amy S. Gee, M.D.

      Lorri M. Kercher, MSN, CRNP

      Ronica A. Montagna, MS, CRNP

Please print and complete the following:



Please arrive 20 minutes prior to your appointment and bring the following:

  • Completed Patient Information Form
  • Completed Patient History Record Form
  • Insurance Card(s)
  • Drivers License or Photo ID
  • Advance Directive (Living Will) (if applicable)


* We will give you the opportunity to participate in our Patient Portal at your first visit.

 

 



      
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