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FORMS

Please complete the appropriate adult or pediatric packet and then each of the 4 forms per patient.

AgLands

Family Health, PLLC

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Monday                        8:00 am - 5:00 pm
Tuesday                        8:00 am - 5:00 pm

Wednesday                  8:00 am - 4:00 pm

Thursday                      8:00 am - 6:00 pm

Friday                           8:00 am - 5:00 pm
Saturday & Sunday                        Closed

2215 San Juan Avenue, La Junta, CO, USA

phone: 719-363-1533
fax: 719-363-1534

www.aglandsfamilyhealth.com

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