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Please click on the PDF link below and download or print our "Health History Form".
Once completed you can FAX it to our office prior to your treatment at 708/562-1744 or bring the completed form into our office on your first visit. Any questions, please feel free to call us at 708/562-1234
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AMERICARE Health & Rehab Center
Dr. Robert Macchione
1900 South Mannheim Rd. Westchester, Il 60154 708/562-1234 amer4care@AOL.com |
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