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Recent Medical Treatment

Please fill out the form below before your appointment with Elizabeth A. Smith

  • Date Format: MM slash DD slash YYYY
  • Doctors' NamesAddress and Phone NumbersMedical Reason 
    One treatment per line item. Hit the + to add additional treatments.
  • Name of HospitalAddress and Phone NumbersMedical ReasonTreatment 
    One hospitalization per line item. Hit the + to add additional hospitalizations.
  • Provider NamesAddress and Phone NumbersMedical Reason 
    One treatment per line item. Hit the + to add additional treatments.
  • Provider's name & Specialty | Address and phone numbers | Medical reason

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The Cranberry Township & Butler, Pennsylvania Law Office of Elizabeth A. Smith provides legal representation to clients in cities including: Ambridge, Beaver Falls, Clarion, Cranberry Township, Ellwood City, Evans City, Ford City, Freeport, Grove City, Kittanning, McCandless, Mercer, New Castle, Pittsburgh, Sharon, Slippery Rock and Zelienople. We also serve the following counties: Butler County, Armstrong County, Allegheny County, Beaver County, Clarion County, Lawrence County and Mercer County.