New Patient Registration
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Medical History
Female Clients:
Informed Consent
I certify that the preceding medical, medication and personal history statements are true and correct. I am aware that it is my responsibility to inform Dr. Taylor and Yvonne Alvarez RN of my current medical or health conditions and to update this history. A current medical history is essential to execute appropriate treatment procedures. I agree to receive treatment from Dr. Taylor and or Yvonne Alvarez RN.
Medical Director - Dr. Frank DiMotta, Jill Sohayda