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New Patient Registration Form
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New Patient Registration Form

Richard W. Waguespack, MD  is always happy to accept new patients. Please print out the New Patient Registration Form, complete, and bring the completed form with you to your appointment. 

Pataients may also complete one to two additional questionnaires that best describe the reason for your visit. 

 
Note:  If you do not have Adobe Acrobat Reader, you can download for free by clicking on the icon below.

 

 

Any information provided on this Web site should not be considered medical advice or a substitute for a consultation with a physician. If you have a medical problem, contact your local physician for diagnosis and treatment.

 
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