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Michael's Location: Office Visit In Boulder, CO
Service:Boulder Office Visit: Acupuncture, with or without Nutritional/Herbal Consultation add another, change
Date/time:Tue, Apr 13 2021 at 10:30 AM (MDT) change

Checklist for new patients, or those who have not been in for several months or more:


□ Bring or send a list of all medications and supplements: everything you have in the house
□ Bring or send any medical records, test results, lab reports done since your last visit
□ Goals: bring or send things you would like to see change or improve; areas you would like to work on
□ Willingness to change
□ Questions


Your Checklist for Your Upcoming Consultation 
□ List of Goals for Our Call
□ Areas You Would Like to Cover
□ Questions you have for Dr Gaeta 

Please do not submit any Protected Health Information (PHI)

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