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For your convenience, you may review and complete these forms prior to your first visit. Dr. Revuelta will review these forms with you when you come to your first appointment and will be happy to answer any questions you may have.

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Click this text to start editing. This block is a great way to highlight key services of your business.

Fee Schedule

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Patient Registration

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Click this text to start editing. This block is a great way to highlight key services of your business.

Patient History Form