Please print and complete these forms. Each page must be filled out and brought to your first visit. If the forms are not filled out before your first scheduled office visit, your appointment will be rescheduled. Please, call if you have any questions.
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For patients referred by their doctor for an injection only. Please print, complete and bring with you to your appointment.
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Please download and read before your first appointment with our clinic.
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8:30AM – 12:00PM &
2:00PM – 6:00PM
8:30AM – 12:00PM &
1:00PM – 6:00PM
Closed
32 West 6400 South
(Winchester St.) Ste. 200
Murray, Utah 84107
Get Directions
(801) 466-7246
(801) 327-9339