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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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EFFECTIVE May 15th, 2022

To our valued customers: Instead of raising our prices, your receipt now includes a non-cash adjustment of 3% to cover the rising cost of credit card acceptance. If you pay with cash, your receipt reflects a 3% cash discount

Thank you for your continued patronage.