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  • Patient Request for form completion:

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  • Once paperwork is completed, do you prefer:

  • Form fee for completing paperwork is $35.00 first set of papers filled out, and $20.00 per set after the initial forms completed. Forms will NOT be started until fee is collected by office. Once you have paid the fee please allow 7-10 business days to complete. Please come by or contact the office at 256-241-0885 to make payment.

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