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New Patient Info Form
Please complete before the first consulation visit. You may bring with you to your first visit. To expedite your first visit, you may email the form to
heather.berly@wylieortho.com
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Photo Release/Permission Form
Would you like your photo or special event highlighted on our website or our
e-newsletter? If so, we need permission in writing from you (or parent/guardian for minors). Please print out and complete the form and fax it to our office, or bring it with you to your next appointment. You may be our next Wylie Ortho Star!
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