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Patient Registration Forms

Patient Forms Photo

Below you will find the forms needed for your first consultation with Dr. Wheeler. The documents on this page are available in PDF format for viewing, printing or saving to your computer. Click on the link for the form you need and print. Fill out the form completely and bring it to your first appointment.

Adult Consultations:

Child Consultations:


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*These forms require Adobe Acrobat Reader. Click the Adobe logo above to download.