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Patient Forms

Please download, print and complete ALL the attached forms in their entirety and bring the packet to the office on the day of your appointment. Some questions may not apply for children and may be left blank. 

Dr. Les Moore

Naturopath | Acupuncturist 

The Box Factory

6 North Main Street

Suite 310 (3rd Floor)
Fairport, NY 14450

585-267-7339

Dr. Les Moore

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