[et_pb_section fb_built=”1″ fullwidth=”on” _builder_version=”3.6″ custom_margin=”30px|||”][et_pb_fullwidth_header title=”INTAKE FORMS” subhead=”The following forms should be completed prior to your first appointment.” _builder_version=”3.16″ title_font=”||||||||” title_font_size=”36px” subhead_font=”||||||||” subhead_font_size=”24px” use_background_color_gradient=”on” background_color_gradient_start=”#e17a08″ background_color_gradient_end=”#e17a08″ button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.0.47″][et_pb_row _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”2_3″ _builder_version=”3.0.47″][et_pb_blurb title=”PLEASE DOWNLOAD AND PRINT THE FORMS BELOW” use_icon=”on” font_icon=”%%24%%” icon_placement=”left” _builder_version=”3.20.2″ header_font=”|800|||||||”]<\/p>\n
<\/p>\n Please download, print, complete and brings these forms to your first appointment.<\/p>\n For questions regarding the completion of forms, please call Diana at: 954-565-4440, ext. 206.<\/p>\n Personal History<\/a><\/strong><\/p>\n Thyroflex Survey<\/a><\/strong><\/p>\n
<\/strong><\/p>\nIntake Forms (PDF)<\/h4>\n