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Installing a Stratoblaster jack pre-amp

FORMS

Here are the forms you will need to complete prior to your first appointment

Forms: Resources

PATIENT REGISTRATION

ADOLESCENT INFORMED CONSENT

RELEASE OF INFORMATION

LIMITS TO CONFIDENTIALITY

CANCELLATION POLICY

ADULT INFORMED CONSENT

alan@alanpachter.com

Phone: 703-944-8396

Fax: 866-740-0641

3929 Old Lee Hwy
Suite 92-C
Fairfax, 22030
USA

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