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Dr. Derek Slosser
Dr. Eduardo A. Cruz
Dr. Charles R. Glosson
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Home
Learn More About Us
Services
Testimonials
Insurance
Forms
Useful Information
Resources
How to Find Us
Business Hours
Contact Us
Forms
Medical History
Medical History.pdf
Adobe Acrobat document [152.1 KB]
Consent Form
Consent for Treatment
Financial Consent.pdf
Adobe Acrobat document [31.0 KB]
Notice of Privacy Practices
Notice of Privacy Practices
Notice of Privacy Practices.pdf
Adobe Acrobat document [998.2 KB]
Receipt of Notice of Privacy Practices
CFL - HIPAA Receipt.pdf
Adobe Acrobat document [281.8 KB]