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    COVID-19 UPDATE
    COVID-19 FORMS
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    COVID-19 FORMS

    In response to the COVID-19 pandemic, all patients are required to complete the two forms below. Please print and fill out the desired form, then bring it to your appointment.

    ASDA Consent to Treatment
    ASDA Consent to Treatment
    AAOIC Supplemental Informed Consent
    AAOIC Supplemental Informed Consent

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    SPRINGDALE | 7853 Har-Ber Avenue | Springdale, AR 72762 | Tel: (479) 751-2003 | Fax: (479) 231-3773

    FAYETTEVILLE | 4102 N. Mall Ave., Suite 101 | Fayetteville, AR 72703 | Tel: (479) 521-8887 | Fax: (479) 521-8889

    SILOAM SPRINGS | 740 S. Holly St. | Siloam Springs, AR 72761 | Tel: (479) 524-7804

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