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FILL OUT Electronically, with Adobe Reader
go to above button, save the pdf to your computer and/or open the pdf with ADOBE READER (free to download if you don't have it). Next, fill out it and save to computer again.
Then, call our office (520.298.3383) and request that we send you an email with a link to our secure/encrypted message center (neocertified). You can then attach the form to that secure message center.
2. ONLINE /PRINT: Fill out the form online (see above instructions), print, and bring printed form to your appointment.
3. PRINT FORM: Print form at home, fill out by hand (with pen), and bring to appointment.
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