New patient form

If you're a new patient, please fill this out!

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A FEE OF $35.00 WILL BE CHARGED FOR RETURNED CHECKS OR SAME-DAY CANCELLATIONS OR NO-SHOWS.

Please be sure to provide us 24-hour notice.

You're risking a $50.00 charge, but in some cases, we may be able to apply that to your next visit as a courtesy.

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