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Medical History Form
*Required for New Patients scheduled to see Dr. Howard
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Patient Information Form
*Required for New Patients scheduled to see Dr. Howard
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Authorization to Release Medical History to a Third Party
*Required to release your Medical Records
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The Body Garage Medical Spa New Patient Information & Medical History Forms
*Required for New Patients scheduled to visit the Body Garage Medical Spa
To save some time, print required form above and fill out before your appointment.
Completed forms may be emailed or faxed prior to your appointment.
Email: office@richardhowardmd.com
Fax: (605) 334 - 0926