Please print and fill out the forms before coming for your appointment. When you come in for your appointment, bring the signed and completed form to our office and give it to the receptionist, Stephanie. Please print and fill out the form before coming for your appointment. When you come in for your appointment, bring the signed and completed form to our office and give it to the receptionist. Please print and fill out the form before coming for your appointment. Print your name on the top left and sign on the top part of the page. Do not fill out the bottom section below the dotted line. When you come in for your appointment, bring the signed and completed form to our office and give it to the receptionist.
Our goal is to provide you more time with Dr. Beja and not paperwork. These online forms will assure you have the most time with Dr. Beja.
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