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NOW SERVING PALO PINTO COUNTY

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Forms

Infusion Clinic Policies (PDF)
IV Infusion and Injection Consent Form (PDF)
Post Infusion Instructions (PDF)
Weight Loss Agreement (PDF)
DPC Membership Agreement (PDF)
Medical Records Request (PDF)
Privacy Policies (PDF)
Self Administered Injection Instructions (PDF)

Mineral Wells, TX 76067

Phone: (817) 646-7433

Fax: (817) 592-0138

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© 2023 by Kayme McIntosh

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