New Patient Registration Instructions:
Thank you for considering Anal Dysplasia Clinic MidWest. To make the New Patient registration process as easy as possible, we are able to make most of our registration forms available to you in a PDF format. Click on the "NewPatientRegistrationFormsCompletePDF.pdf" tab below and print out all forms. After you click on the tab, it takes a few seconds to load the PDF forms. Please complete all forms by providing all requested information. Bring the completed forms to your first appointment with Anal Dysplasia Clinic MidWest. Please also bring your Insurance Card and Drivers License or ID.
Best of health
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Click above link to down load registration forms