PATIENT HISTORY FORM
To our new patients: Welcome to Integra Medical Center. Medical practiced clinic of Dr. Omar D. Gonzalez and his team administering our proprietary Post Natal Stem Cell Therapy and other great methods of therapy.
Please complete the health history form below in detail, so we may effectively treat your condition and maximize the result of your treatment. Thank you !
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This form was created inside of Integra Medical Center.