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FORMS
Please complete the forms below and email them back to Dr. Samadi at EstherSamadiMD@EstherSamadiMD.com prior to your initial consultation
1) If the patient is:
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under 18 years old, please complete the "Patient Registration Form-Child"
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18 years and older, please complete the "Patient Registration Form-Adult"
2) Please also complete the following 6 forms below:
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