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Dr. Kevin Kita DC

427 Alden Avenue

Morrisville, PA 19067

215.736.9291

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New Patient

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We here understand your time is valuable and would like to give you the option of speeding up your initial visit by printing out and filling out each form that applies to your specific needs.

Every patient must fill out our “Health History Form”. This form provides Dr. Kita with great insight on your specific needs. Please take the time now to print this form, fill out each line / question as it will help Dr. Kita in determining the best plan suited for your health needs.

If you have health insurance you may also want to download and fill out this form also to expedite your initial visit with Dr. Kita.

To print each form, place your mouse cursor over the form you desire to print. Left click your mouse, wait for page to load. When page has loaded select “print” from the file menu or hit the print button icon in your browser.

CLIENT INFORMATION FORM

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