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Clinicalondemand
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ONline forms

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Online Forms

We make it possible to plan ahead. We do our best to make things easy and efficient. We have set up an easy and quick way for you to complete the necessary paperwork before your surgery day. If you wish to do so, you can fill out your forms here.

 

1. Era Reservation Form - Complete this form to reserve your service with us.

 

2. Waiver & Assumption of Risks - Please carefully review this document and sign it before your stay.

 

3. Era Policies & Procedures - Please review our policies and procedures and sign it before your service with us.

 

4. Payment & Credit Card Authorization - Please complete our payment and credit card authorization form.

 
 

NOTE; NEED TO INPUT FORMS INTO THIS SECTION (CONSIDER ADOBE LINKS)

New Patient Forms

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