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Drs. Russell, Deasey, Wright & Zitofsky
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FORMS
Please print and complete out the Consent Form and the Patient Medical History Form and bring them to the office on your first visit.
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Consent Form
This form is an agreement and explanation of our privacy policies and requires a signature.
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Patient Medical History Form
This form is to provide your medical history and must be completed and signed.
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Office Policies
This document contains information about our office policies and requires a signature.
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To view, complete, or print PDF forms, you will need Adobe Acrobat Reader installed on your computer. This software can be downloaded at www.adobe.com.
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