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Required for first time clients and all clients that have not created a client account on the website.

This form is required for all clients first visits, those with more than a 3 month (90 day) gap between visits, and annually in January.

This form is required for all clients first visits, those with more than a 3 month (90 day) gap between visits, and annually in January.

This document is for your records only. The federal government requires this notice to be distributed.

This form is required for all clients first visits, those with more than a 3 month (90 day) gap between visits, and annually in January.

This form is required for all clients first visits, those with more than a 3 month (90 day) gap between visits, and annually in January.

This form is required for all clients first visits, those with more than a 3 month (90 day) gap between visits, and annually in January.

This document is for your records only. The federal government requires this notice to be distributed.

This document is for your records only. The federal government requires this notice to be distributed.