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Online patient forms.
Please download and fill out the below forms to bring to your appointment with you.

 

Registration Form  
     
Notices of Privacy
Practices Acknowledgement
 
     
Health History 01 (Confidential)  
     
Health History 02 (Confidential)  


 

   

 

 

 

Dr. C.S. Michael, LLC
6355 Walker Lane
Suite 505
Alexandria, VA 22310
Tel: 703.971.4444

 

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