New Patient Limited-Time Special! $50 Consultation and Exam ($145 Value!)

Please download the form below and fill it out electronically. You can do so either in your browser or in Adobe Acrobat, which you can download here: https://get.adobe.com/reader/
Once completed, you can save the PDF file and print it out to bring it with you to your appointment, or email it to us at communityclinics@yahoo.com