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All of the forms listed are available in Acrobat Reader format. To download the Reader software, click on the "Get Acrobat Reader" logo.

Please choose a form to open (or right click and select 'Save Target As' to download the form).



These Health History forms are an important step in making quality healthcare available to you and your family. This information will be kept confidential and used for your continuing care. Please print and answer the questions, return the completed form to our office at your next appointment. Thank you. DayOne Family Healthcare, P.C.










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