Follow-up Questionnaire


Please complete this form 1-3 days prior to your scheduled appointment. Your responses allow Dr. Borue to focus the visit on the most pressing and relevant concerns instead of using up valuable time for routine screening questions. Your responses will viewed by Dr. Borue and entered as a part of the medical record. They will also be used to track the overall progress of treatment. Forms must be submitted PRIOR TO the start of your follow-up appointment to be seen by Dr. Borue.

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