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Patient Forms

Please complete and bring this form with you to your first visit

Health_History_Form_2023

For NEW PATIENTS, also complete and bring this form with you to your first visit

New_Patients_Forms_2023

Last week I had the opportunity to meet you and your fine staff as you worked to clean up a cancerous spot on my face. It turned out to be a lot deeper than anyone including me believed. It took five passes to get to the bottom of it. No one on your team gave up on the effort to get it all. Every time I had to go back for you to search further, everyone was upbeat and positive. Words cannot express how important this was to me as I was getting more and more discourages. Peter, and your magical staff, could not have been more professional nor kind. They each in their own way went out of their way to make me as comfortable as possible while explaining what was going to happen next. Further, I am deeply appreciative of you taking the time to meet with my wonderful wife to explain the process, successes, and challenges.

— Robert OK

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Upon submission, a representative will contact you during normal business hours to confirm your request.

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