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Home » Contact Us » Medical History Questionnaire

Medical History Questionnaire

Please print and fill out both pages of the Medical History Questionnaire.  Bring it with you to your next appointment to save time at the office.

Call Fayetteville (315) 625-2020
Call Liverpool (315) 325-2020

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Memorial Day Holiday Closure

Please be advised of our upcoming office closures for the Memorial Day holiday:

  • Liverpool Office: Closed Saturday, May 24th – Monday, May 26th

  • Fayetteville Office: Closed Friday, May 23rd – Monday, May 26th

We will reopen and resume normal business hours on Tuesday, May 27th at 8:00 AM.

Thank you for your understanding, and we wish you a safe and happy Memorial Day!