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Download this patient information form (PDF): Questionnaire
Fill it out, scan it and email to: email@example.com, or fax it to 973-635-9171,
We will call you within the hour, (during office hours), and get you in TODAY.
Have an EMERGENCY that can not wait for office hours?
E-mail Dr. Murphy at firstname.lastname@example.org, and he will get back to you.