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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.

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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. Follow this link to see if the insurance changes will affect you.