Dear Patient,

Thank you for choosing to complete your history form online. Please submit the form prior to your appointment and we will have your paperwork ready and completed for you when you arrive. The security of your information is very important to us. This site is fully secure and your information will be completely protected.

All major health insurers and Medicare require us to obtain this in-depth medical history information. For your next annual exam you will simply be able to review what was submitted today and update the information, rather than filling out an entirely new form.

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