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Pink Sugar


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!


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

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