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Tomales Osteopathic Free Clinic - For Osteopathic Premeds, Students & Physicians only
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First name
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Last name
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Please describe if you are an osteopathic premed or medical student, at which school & in what year. If you are an osteopathic physician/practitioner, please describe where you currently practice & in what specialty.
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Please briefly describe how you heard about the clinic, and your interest in coming.
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Do you have a treatment table that you can bring?
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Do you plan to meet at Tomales Deli + Cafe at 5:15 pm for a group dinner before the clinic?
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Comments or additional info (allergies, disability services, etc.)