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New Patient
Online Forms
page 4
Patient Medical History

There are 3 more forms in our new patient paperwork.  
Thank you for taking the time to complete these forms.
 
If you would like copies of any of these two forms,
please let us know at the time of your visit.

This 4th form is a Patient medical history form.  
It asks for information on personal and family medical history,
and lists of current medications/supplements.
This information is very important.