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Patient forms

The following forms will need to be completed for your first visit to our office. You are welcome to print them from our website and bring them with you to your scheduled appointment.

New patients

Established patients

To request a copy of your medical records: Authorization for release of medical information form

PennDot handicap parking placard application

Hospital Amenities

Amenities for all campuses

  • Smoking – All Main Line Health campuses are smoke-free. No smoking is permitted inside or on hospital grounds.
  • Visiting hours – Main Line Health patients are permitted to have visitors 24 hours a day, seven days a week, as long as it is not disruptive to their healing.
  • Television and internet – We offer free wireless internet access and a television in every patient room.
  • Integrative services – We offer several healing therapies that have been shown to speed recovery and reduce pain, anxiety, fatigue and depression. Talk to a nurse about reiki therapy, aromatherapy, pet therapy or therapeutic music.
  • Main Line Health financial services – 484.829.6060

Lankenau Medical Center

100 East Lancaster Avenue
Wynnewood, PA 19096
484.476.2000

Preadmission testing: 484.476.2530

Patient access (registration): 484.476.2167

Outpatient lab: West Medical Office Building ground floor, Monday–Friday 6:30 am–6:00 pm; Saturday 6:30 am–12:00 pm

Outpatient EKG: Heart Pavilion, Monday–Friday 7:30 am–4:00 pm, no appointment necessary

Lankenau dining options and amenities

  • Food Court: Ground floor, Monday–Friday 6:30 am–11:00 pm, 12:00–2:00 am; Saturday–Sunday 7:00 am–7:00 pm
  • Atrium Café: East Medical Office Building ground floor, Monday–Thursday 6:30 am–4:30 pm; Friday 6:30 am–4:00 pm; holiday hours vary
  • Parking: Self-park in garages A, B, D; fee-based; check with the information desk about possible discounts
  • Valet parking: Frankel Lobby (by A Garage), Monday–Friday 6:00 am–8:30 pm; Heart Pavilion Monday–Friday 8:00 am–5:00 pm; fee-based
  • Brodsky Suites: Concierge fee-based private suites for patients
  • ATM: Frankel Lobby and Atrium Café
  • Gift shop: Lori's Gifts, Frankel Lobby, Monday–Friday 8:00 am–8:00 pm; Saturday, Sunday and holidays 9:00 am–7:00 pm
  • Walgreens: West Medical Office Building, Monday–Friday 7:00 am–7:00 pm; Saturday 9:00 am–1:00 pm

Bryn Mawr Hospital

130 South Bryn Mawr Avenue
Bryn Mawr, PA 19010
484.337.3000

Preadmission testing: 484.337.4515

Patient access (registration): 484.337.4599

Outpatient lab: Warden Lobby, Monday–Friday 6:30 am–6:00 pm; Saturday 7:00 am –12:00 pm

Outpatient EKG: Warden Lobby, Monday–Friday 7:30 am–4:00 pm, no appointment necessary

Bryn Mawr dining options and amenities

  • Cafeteria: Ground floor; daily 6:30 am–7:00 pm
  • Java City/Atrium Café: Pavilion Lobby, ground floor; Monday – Friday 6:30 am–4:00 pm; closed weekends
  • Parking: Self-park garages located at Old Lancaster Avenue and Bryn Mawr Avenue; fee-based
  • Valet parking: Warden Lobby; fee-based; free for veterans
  • ATM: Ground floor by cafeteria
  • Gift shop: Warden Lobby

Paoli Hospital

255 West Lancaster Avenue
Paoli, PA 19301
484.565.1000

Preadmission testing: 484.565.1087/1435

Outpatient lab: Monday-Friday 7:00 am-6:00 pm; Saturday 7:00 am-noon

EKG: Monday–Friday 6:30 am–4:00 pm, no appointment necessary

Paoli dining options and amenities

  • Cafeteria: Ground floor, Every day 7:00 am–7:30 pm
  • Java City: Main Lobby, Monday–Friday 6:30 am–4:15 pm
  • ATM: Main building across from registration
  • Parking: Free garage
  • Valet parking: Monday-Friday 7:00 am–9:00 pm; free for those with a disability
  • Gift shop: Lori's Gifts, Valet Lobby, Monday–Friday 8:00 am–6:30 pm; Saturday 10:30 am–7:00 pm, Sunday 10:30 am–4:30 pm; phone and online orders available; 484.565.1104
  • Paoli Apothecary: Medical Office Building I, Suite 107 (down the hall from cafeteria), Monday–Friday 8:30 am–5:00 pm; 610.251.2295

Riddle Hospital

1068 West Baltimore Pike
Media, PA 19063
484.227.9400

Preadmission Testing: 484.227.6236

Outpatient Lab: Monday–Thursday 6:45 am–5:30 pm; Friday 6:45 am–5:00 pm; Saturday 7:30 am–12:00 pm

EKG: Monday–Thursday 7:00 am–5:30 pm; Friday 7:00 am–5:00 pm; Saturday 7:30 am–12:00 pm, no appointment necessary

Riddle dining options and amenities

  • Café: Ground floor, Monday–Friday 7:00 am–2:00 pm; closed Saturday–Sunday
  • Java City: First Floor Lobby, Monday–Friday 6:30 am–7:30 pm; Saturday–Sunday 7:00 am–7:00 pm
  • ATM: Main Lobby and Outpatient Pavilion
  • Parking: Self-park garage $3.00 flat fee; free for veterans; surface lot in front of main entrance is free
  • Valet parking: Fee-based; free for veterans
  • Gift shop: Main Lobby, first floor

Patient forms

The following forms will need to be completed for your first visit to our office. You are welcome to print them from our website and bring them with you to your scheduled appointment.

New patients

Established patients

To request a copy of your medical records: Authorization for release of medical information form

PennDot handicap parking placard application