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Please print and fill out the forms below and take them to your appointment .
  1. Records Release Authorization
    .pdf file (49.56 KB)
    January 23, 2012
    Download
  2. Patient Information
    .pdf file (144.61 KB)
    January 04, 2011
    Download
  3. Medical History
    .pdf file (18.13 KB)
    January 04, 2011
    Download

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