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Patient Contact Information

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If you have a communication concern, do not hesitate to contact us.  Your initial consultation is complimentary. If you prefer e-mail, please fill out the form below.  

For your convenience and to better serve you, please print, complete, and e-mail or bring to our first meeting the following forms/documents. 


Initial Patient Information Form Download


Child Patient History Form Download


Adult Patient History Form Download


HIPPAA Form Download



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