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Health History Questionnaire
The Health History Questionnaire
is as general questionnaire that we ask all our
new patients. It gives us a snapshot of your
child's medical, developmental, and social
history. This questionnaire is required at your
child's first visit to our office. Please have
this filled to the best of your abilities and
bring the completed form at your first
appointment.
To complete the questionnaire, please download and print this
document:
Health History Questionnaire
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