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New Patient Health History Form Printable

  • If you do not already have AdobeReaderĀ® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form

We specialize in OWCP/ DOL federal work comp injury cases.

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Office Hours

Our Regular Schedule

Community Health & Rehabilitation

Monday:

8:00am - 1pm

2:30pm - 5:30pm

Tuesday:

9am - 1pm

2:30pm - 6:30pm

Wednesday:

8:00am - 1pm

2:30pm - 5:30pm

Thursday:

9am - 1pm

2:30pm - 6:30pm

Friday:

Closed

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

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