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Are you a New Patient?

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For your convenience, the New Patient Registration Form is available below. Please review, complete and submit the form by any of the following options:

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Option 1: Electronically. Complete the pdf form by opening it in an editable format such as DocHub or Acrobat, then submit the completed form via email to info.renewlaser@gmail.com

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Option 2: Print. Bring the completed form with you at the time of your appointment. 

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Option 3: In-Office. A printed form will be available for you to complete at the time of your appointment. 

 

Should you have questions, please call (561) 255-0272

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