January 13, 2010
Christine Gallow
289 Residential Blvd., Suite 102
Macon, GA 83517
Re: Appointment with Dr. Stillman
Dear Ms. Gallow:
We have scheduled your appointment with Dr. Stillman for February10, 2010. Prior to your visit we need you to fillout (1) regarding ouroffice policies. Included in these policies is a list of thingsthat could cause you to beconsidered (2)with thedoctor’s recommendations. Please do not signthe (3) until you arehere in the office. This information will become part ofyour (4) and will beplaced inyour (5).
Should you have any questions, please don’t hesitate to contactus.
We look forward to caring for your needs.
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