RICHARD SMITH, D.O.
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Please download, print and complete these forms:

Patient Registration and Medical History
File Size: 65 kb
File Type: pdf
Download File

Patient Questionnaire
File Size: 547 kb
File Type: pdf
Download File

Protecting You and Me
File Size: 125 kb
File Type: pdf
Download File

Acute Illness Screening
File Size: 440 kb
File Type: pdf
Download File

Privacy Policy
File Size: 57 kb
File Type: pdf
Download File

Information Release
File Size: 9 kb
File Type: pdf
Download File

Minor Release
File Size: 54 kb
File Type: pdf
Download File

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© Richard F. Smith 2017-2020 - all rights reserved
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  • Home
  • Contact
  • Qigong
    • Qigong Research
  • Hours
  • Scope of Practice
  • Forms to Complete
  • Interesting Links