Senior Health
Main Line Health experts provide specialized care so adults of all ages can maintain their independence and live life to the fullest.
Main Line HealthCare Family Medicine in Havertown
Havertown West Chester Pike
Falcon Center
525 West Chester Pike
Suite 201
Havertown, PA 19083
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Falcon Center
525 West Chester Pike
Suite 201
Havertown, PA 19083
View on Google Maps
Phone:
Fax:
About
Our board-certified physicians provide personalized, compassionate care for family members 18 and over. We believe that a long term relationship with the family can enhance the care for each individual member. Our mission is to help you achieve optimal health through promoting a healthy lifestyle and disease prevention.
Services include:
- EKGs
- Immunizations
- Routine blood studies
- Allergy injections
Primary Care
Experience comprehensive and compassionate primary care and family medicine services at Main Line Health, delivering advanced care for your overall well-being.
New patients
- Patient registration form
- Adult comprehensive health assessment (or use the large print version of the health assessment)
- Administrative authorizations
- Care Everywhere authorization form
- Medicare secondary provider questionnaire
- Medicare health risk assessment form
- Medicare depression screening form
- Patient demographic data sheet
- Instructions for authorization to disclose protected health information (PHI)
- Authorization to disclose protected health information (PHI)
- Main Line Health notice of privacy practices
- Acknowledgement of receipt – MLH notice of privacy practices
- Non-discrimination and availability of services notice
Established patients
To request a copy of your medical records: Authorization for release of medical information form
For your convenience, we have also included links to our three most commonly requested forms: