City Line Family Medicine

301 City Avenue ■ Suite 100 ■ Bala Cynwyd, PA 19004
Phone 610-617-1300 ■ Fax 610-617-0199 ■ Text/Voicemail* 484-429-9141

Appointments for Dr. Fedec

Patients scheduling for a Complete Annual Physical or New Patients can click the links below to print out Medical History Form.  Just complete the forms at home and present them at the time you check in for your appointment.

Medical History Page

A charge will be assessed to any patient failing to keep their appointment.  See the Office Policies section for details.
Enter your Full Name:   
Enter your Date of Birth - mm/dd/yy :  
Home Phone # with Area Code:  
Cell Phone # with Area Code:  
Select your Primary Care Physician:  
What is the Purpose of the Appointment:  

First Appointment Choice:  

 Month:   Day:   Date:    

Second Appointment Choice:  

 Month:   Day:   Date:        

Third Appointment Choice:  

 Month:   Day:   Date:        

 

Please press the submit button only once. It may take a few moments for submission. 

*depending upon your calling/texting plan, additional charges may apply.