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Follow Up Patients

If you are a follow-up patient coming to our DeSoto office please be sure to complete this form 24 hours before your appointment.  Failure to complete this form 24 hours before your appointment will result in a rescheduled appointment.

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  • Please choose any symptoms you currently have.

    Please choose any symptoms you are currently experiences.
    Please choose any symptoms you are currently experiences.
    Please choose any symptoms you are currently experiences.
    Please choose any symptoms you are currently experiences.
    Please choose any symptoms you are currently experiences.
    Please choose any symptoms you are currently experiences.
    Please choose any symptoms you are currently experiences.
    Please choose any symptoms you are currently experiences.
    Please choose any symptoms you are currently experiences.
    Please choose any symptoms you are currently experiences.
    Please choose any symptoms you are currently experiences.
    Please choose any symptoms you are currently experiences.
    Please choose any symptoms you are currently experiences.