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Jay Ginther, MD, FAAOS, CCD
Cedar Valley Bone Health Institute
(Located in the ADI Building)
4006 Jonathan Street, Suite B
Waterloo, Iowa 50701
Phone: 319.233.BONE(2663)
Toll Free 1.800.786.6499
Fax: 319.287.8094

Please print these forms, fill them out and bring them to the office with you.

We will need these forms filled out before your office visit.

Please come to the office 20 minutes early if you have not filled out these forms.

		Patient History Questionnaire
		HIPPA Confidentiality Form


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