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Health History Form

The Health History Form is available online for your convenience.
It is a Microsoft Word form that you can complete at your leisure prior to your appointment.
You can open it, complete it, save it and email it to the office, or print it and bring it with you.

Click on this image to open the form:

Health History Form

For emailing the completed document, attach it and send to:
mikewudds@gmail.com

(emailed forms will be signed in the office at the time of your appointment)

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Site created: May 2006, Web Design: www.justmary2.com