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Health History Form

We ask that all new patients and those we have not seen in the past 6 months fill out a Health History form when they arrive for their appointment. If you wish, you can print this form out on your computer printer and fill it out in the comfort of your own home. DON'T FORGET TO BRING THE COMPLETED FORM WITH YOU. You can also fax it to our Medical Records Department at (412) 262-2427.

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