Please print and fill out the necessary documentation: New Patient Intake Form Medical Records Release Form New Patient Auto Accident Form PH: 724 – 766 – 6827 FAX: 412 – 404 – 8395 EMAIL PittsburghPrimaryCare@gmail Chippewa Location 2242 Darlington Rd. Beaver Falls, Pa 15010 Shadyside Location 5850 Ellsworth Ave. Pittsburgh, Pa 15232
