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+ 1 541-754-3010

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+ 1 541-754-3010

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Here are some important forms you to review and complete prior to your appointment with one of our physicians or provider.

  • Screening Checklist for Visitors
  • New Patient Enrollment Form
  • Medical History Form
  • Online Doctor Appointment Form
  • Psychiatric Evaluation Form
  • Quick Emergency Contact Form
  • Blood Donation Form
  • HIPAA Privacy Restriction Questionnaire
  • Medical Release Form

We are a family centered practice that incorporates compassion and dedication to promote your well being.

+2 15535

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Contacts >

Address: Mohandesien , 15 Adnan Madany Street from Ahmed oraby

Phone: 15535

Opening Hours: daily: 07:00-23:00h

Address:  

Mohandesien , 15 Adnan Madany Street from Ahmed oraby

Phone:

+2 15535

Opening Hours:

daily: 07:00-23:00h

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0105 063 0930

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Mit Akaba, Agouza, Giza Governorate 375451

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