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Hello

Filling out the documents required is vital to providing you with quality care and services.  It also reduces your time spent in our office, decreasing exposure to C-19.  Your information is for our purposes and is never sold.

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Medical Questionnaire

Please fill out the following form to help us understand your physical condition.

Thanks for submitting!

Contact

If you got any questions, please do not hesitate to send us a message. We reply within 24 hours !