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Please click on the button below to download the Patient Questionnaire. Please print and fill it out. Then either scan or take a clear picture of it and send to marilynhultermd@gmail.com. Thank your time and consideration.
bottom of page
Please click on the button below to download the Patient Questionnaire. Please print and fill it out. Then either scan or take a clear picture of it and send to marilynhultermd@gmail.com. Thank your time and consideration.