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Patient History Information Form
Please fill out this form and submit the data via email, or print a copy and bring it to your appointment
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Consent to Treat a Minor
Patients under 18 years of age will require a parent/guardian in the office with them. If you must leave a minor with us, a signed Consent to Treat form may be filled out. Please bring this with you, email it, or fax it to us at (650) 917-1044.
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