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DON'T YOU JUST LOVE FORMS?

We think continuity of care is important! It is important for us to know any changes in your medical history since the last time that we saw you.  This includes any new medications, lab work, radiologic studies, surgeries and more. Please sign the following form and take, mail or fax to any doctor(s) you have seen since your last visit so that they may send us your pertinent medical information and changes.

Medical Information Release Form

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