icon-online

eCare Patient Portal



Holy Redeemer
HealthCare at Bensalem
3300 Tillman Drive
Bensalem, PA 19020
Get Directions

Hours
Monday 9:00am – 4:00pm
Tuesday 8:00am – 6:00pm
Wednesday   8:30am – 2:00pm
Thursday 8:00am – 7:00pm
Friday 8:00am – 3:00pm
Saturday Ask for availability

 

 


735 Fitzwatertown Road, Suite 4
Willow Grove, PA 19090
Get Directions

 

Hours
Monday   8:00am – 6:00pm 7:00pm – 10:00pm
Tuesday   8:30am – 2:00pm 6:00pm – 9:30pm
Wednesday 10:00am – 6:00pm
Thursday   8:30am – 2:00pm
Friday   8:00am – 2:00pm
Saturday Ask for availability

PATIENT FORMS


Welcome to the Holy Redeemer Women’s Care family. In order to make your first appointment go as quickly and smoothly as possible, please print and complete the following forms and bring them to your appointment along with your insurance card, copay, a photo ID and medical records from your prior OB/GYN if you have them. If you’re a new patient, please arrive 15 minutes before your scheduled appointment time.

 

PDF TX-65Patient Information

 

PDF TX-65Authorization to Speak to Another Regarding Medical Care

 

PDF TX-65Consent for Financial Responsibility

 

PDF TX-65General Consent to Treatment

 

PDF TX-65Authorization for Access or Release of Protected Health Information

  

PDF TX-65Standing Consent To External Prescription History

 
 

Payment/copay is expected at the time of your appointment. We accept cash, check, VISA, MasterCard, American Express and Discover.

 

health-link fb health-link yt health-link txt

© 1999-2018 Holy Redeemer, All Rights Reserved   |   Privacy & Security   |   Disclaimers



Holy Redeemer
HealthCare at Bensalem
3300 Tillman Drive
Bensalem, PA 19020
Get Directions

Hours
Monday 9:00am – 4:00pm
Tuesday 8:00am – 6:00pm
Wednesday   8:30am – 2:00pm
Thursday 8:00am – 7:00pm
Friday 8:00am – 3:00pm
Saturday Ask for availability

735 Fitzwatertown Road, Suite 4
Willow Grove, PA 19090
Get Directions

 

Hours
Monday   8:00am – 6:00pm 7:00pm – 10:00pm
Tuesday   8:30am – 2:00pm 6:00pm –   9:30pm
Wednesday 10:00am – 6:00pm
Thursday   8:30am – 2:00pm
Friday   8:00am – 2:00pm
Saturday Ask for availability

109 Central Ave
Cheltenham, PA 19012
Get Directions

 

Hours
Monday   Closed
Tuesday 10:00am – 2:00pm
Wednesday   9:00am – 1:30pm 7:00pm – 10:00pm
Thursday   8:00am – 2:00pm
Friday   Closed
Saturday Ask for availability

icon-online

eCare Patient Portal