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patient_health_questionaire_pg_1.pdf
File Size: 349 kb
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patient_health_form_pg_2.pdf
File Size: 313 kb
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health_signature_page.pdf
File Size: 200 kb
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patient_service_agreeement.pdf
File Size: 333 kb
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_hipaa_signature_.pdf
File Size: 213 kb
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glasses_prescription_release.pdf
File Size: 196 kb
File Type: pdf
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privacy_policy_demotte_.pdf
File Size: 484 kb
File Type: pdf
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DeMotte Location

609 N Halleck St.
​DeMotte, IN 46310
​(219) 987-3673



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  • Our Practice
  • Patient Forms
  • Services
  • Locations
  • Schedule Your Appointment