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Liverpool: (315) 325-2020
Request An Appointment
Fayetteville: (315) 625-2020
Request An Appointment
Liverpool: (315) 325-2020
Request An Appointment
Fayetteville: (315) 625-2020
Request An Appointment
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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.

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Important Insurance Changes

We have updates in our office procedures, technology we are using to keep you safe, and insurance changes. Please check our “Doctor’s Announcement During the COVID-19 Outbreak” for more details and to see Dr. Malara’s update video. And follow this link to see if the insurance changes will affect you.