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Pages from BACK PACK DOC2-1-updated-1

Pages from BACK PACK DOC2-1-updated-1

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Published by: api-3723176 on Oct 16, 2008
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05/09/2014

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DEAR PATIENT:

WE KNOW THAT FILLING OUT THIS LONG CONFIDENTIAL BACK PACKET
IS A LOT OF WORK; HOWEVER, THE MORE INFORMATION YOU GIVE US, THE
BETTER WE CAN HELP YOU.

\u2666 INSTRUCTIONS
1) PLEASE ARRIVE 30 MINUTES PRIOR TO YOUR SCHEDULED
APPOINTMENT TO GIVE US TIME TO PROCESS YOUR PAPERWORK AND
TO TAKE XRAYS.
2) BRING COMPLETED BACK PACKET (12 PAGE DOCUMENT).
3) BRING ANY CURRENT XRAYS, MRI FILMS, AND REPORTS.

IF YOU DO NOT ARRIVE 30 MINUTES EARLY AND COME
PREPARED WITH ALL COMPLETED PAPERWORK AND
YOUR XRAYS AND/OR MRI\u2019S (FILMS AND REPORTS), YOUR
APPOINTMENT WILL BE RESCHEDULED BY MY STAFF.

PLEASE BE ASSURED THAT THIS INFORMATION IS CONFIDENTIAL.
IF YOU HAVE ANY QUESTIONS OR NEED ANY ASSISTANCE, PLEASE ASK.
THANK YOU FOR YOUR PATIENCE.
JOHNNY C. BENJAMIN, JR., M.D.
VIBHOOTI H. DAVE, D.O.
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