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Step 1 > Survey
Step 2 > Day & Time
Step 3 > Intake Form

Step 3 of 3

Intake Forms
Open, print and fill out this detailed health history form (or intake form, for short). Filling it out now will help to reduce unnecessary waiting when you arrive for your appointment. This step is not mandatory but it is strongly engouraged.

Note: due to the size of the form, it may take a few minutes to open on a dial-up connection.
Adobe Acrobat

intake_form.pdf



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