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You can download and fill on your screen the following attached for the first visit pacient form and send it to us. If you prefer, you can print it, fill it out by hand and bring it.

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Jorge Ulloa
Cel. +52 (1) 333 190 0642
Hidalgo #44 Int. 103 (Fracc. Riberas del Pilar)
C.P. 45906 - Chapala, Jalisco, México
Tel: +52 (376) 108 1532

   
   
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