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DOWNLOAD OUR PATIENT QUESTIONNAIRES
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Our patient questionnaires are provided below in Adobe PDF format. You must have Adobe Reader software to view them. If you don't have Adobe Reader, you can download it by clicking on the "Get Adobe Reader" button.
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There are three questionnaires -- one for female patients, one for male patients, and one for children (male or female). Please complete one questionnaire per patient. Click one of the links below to download the appropriate questionnare:
At this time, SFM is NOT accepting completed questionnaires electronically. After downloading a questionnaire, please print a hardcopy, complete it, and bring it to your first office visit.
Copyright 2005 Southern Family Medicine, LLC ("SFM"). All rights in the patient questionnaires provided on this web site are reserved by SFM. Except for use by SFM's patients in connection with health care services, no patient questionnaire provided on this web site may be reproduced, stored or transmitted in whole or in part, in any form or by any means without the prior written permission of SFM. |
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