Forms

Click here to review our Practice Policies.

Pay Online

WELL-CHILD VISITS

For your convenience, pay your bill online:

Patient Resources

For your convenience, information packets typically handed out during a well-child visit:

Pediatric Associates of Westmoreland

after hours call 866-625-5271

Call 724-832-7045 to schedule an appointment  | 

• New Patient Packet
  
• Consent to Treat
• Authorization to Bill Insurance
• Vaccine Refusal Form
  
• Child Health Report
  
• School Physical Exam Form
  
• Lab/office notes release form
• Learner's Permit
  
• PIAA Forms
  
• Transferring In 
  
• Transfer OUT of PAW