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STEP:1
 CLICK HERE TO
COMPLETE OUR
PATIENT INTAKE FORM



SEE YOUR DOCTOR
BY USING SKYPE FOR
YOUR CONSULTATION!


What is Skype?

WHAT IS SKYPE?

 Complete Patient Intake Form & Waiver




 

If you are using the online Patient Intake Form please remember to print and fax back the Waiver (see link below).

Upon receipt of your Waiver and your Patient Intake Form, you will be contacted by the American Center for Biological Medicine to arrange your appointment time with the doctor and payment for your Consultation.


Click Here to Print Offline Patient Intake Form

Click here to print Waiver

Print, complete and fax your Patient Intake Form and Waiver document to  (480) 767 - 2745

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