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Please use the following links to print and fill out our patient health history form. The form is formatted in Adobe Acrobat, in order to view it you will need Adobe Acrobat Reader installed on your computer. If you do not have Adobe Acrobat Reader you can click below on the Acrobat icon to download it FREE.

 

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Forms

 

Patient Health Questionnaire

 

 

 

 

Patient laying on the rollerbed

 


44 Sarah's Lane • Somerset, KY 42503 • 606.451.0564