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37 Swezeytown Road
Middle Island, New York 11953
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Espanol
Please Complete Forms Before Your Visit:
Thank You
Please complete the following fillable clinical forms prior to your first visit and bring these forms with you on your first visit.
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Email your completed form to guadalupekicotan@gmail.com
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INSTRUCTIONS:
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Click on the form you would like to open.
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Download the document.
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At the top of the document, in the yellow bar. Click on " Enable Editing".
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Fill in all information on the document.
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