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North Penn Surgical Associates

2100 North Broad Street, Suite 100
Lansdale, Pennsylvania 19446
215-368-1122

North Penn
Hernia Institute

2100 North Broad St. Lansdale, PA 19446
215-368-1122 Fax:215-368-3569

HERNIA INSTITUTE HOMEPAGE
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MORE INFORMATION ON

CLICK for Inguinal Hernia Information

CLICK for Umbilical Hernia Information

CLICK for Incisional Hernia Information







MEMBER-American

On-LineConsultation

Request Form

Please Complete the Form Below and then click
"SEND"
One of our surgeons will be in touch with you in a day or two with a response to your free ON-LINE CONSULTATION
NAME (Last Name Optional)

E MAIL ADDRESS


REPEAT E MAIL ADDRESS



  • WHAT TYPE OF HERNIA DO YOU HAVE?

  • How LONG HAVE YOU HAD THIS HERNIA?

  • Would you consider having your surgery at
    The North Penn Hernia Institute?

  • Please Comment on our Web Site Design!

  • PLEASE WRITE A SPECIFIC QUESTION OR CONCERNS THAT YOU WISH TO DISCUSS WITH OUR SURGEONS..PLEASE WRITE IT BELOW!

    Click "SEND" to process consultation request!!

    NOTICE !!

    IF ABOVE FORM NOT FUNCTIONING, SEND NAME AND PHONE NUMBER VIA EMAIL BELOW..WE WILL CONTACT YOU !!!
    SEND DIRECT EMAIL HERE

    NOTICE
    INFORMATION PROVIDED IN THIS SITE, OR IN SUBSEQUENT CORRESPONDENCE IS FOR GUIDANCE PURPOSES ONLY, AND DOES NOT REPLACE THE EXAMINATION AND PLANNED SURGICAL OR MEDICAL MANAGEMENT OF A PHYSICIAN