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DrMirandola@allassochiro.com
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If you will be coming in to the office as a new patient, you can print and fill in the forms we would like to have for our records.

If you will be an adult new patient, please use the adult health history form (4 pages). If you will be bringing a child as a new patient, please use the pediatric history form (3 pages). Both links open in new window.

 
 
 
 
 
 
 
 

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