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PATIENT FORMS

Please print and fill out the appropriate form below, then either email, fax or drop off at our office anytime.  Or you may use your Google Docs account.  Just click on the appropriate form in the upper right corner (arrow).                                             

*All patients must submit a NEW PATIENT MEDICAL HISTORY form prior to other form submissions!

JOY OF BALANCE

9240 Bonita Beach Road

Bonita Springs, Fl 34135

joy@joyofbalancefl.com

239-947-0340 (fax)

NEW PATIENT MEDICAL HISTORY

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CONSENT TO TREATMENT FORM

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