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Appointment Request
Meridian Harmonics Clinic of Oriental Medicine
2044 Bedford Road, Bedford, TX 76021
Text us at 682-292-8767 or email
mtryling@gmail.com
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Email
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Your email
First and Last Name
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Your answer
Birthdate
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MM
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DD
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YYYY
Mobile Phone
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Your answer
Clinic Appointment Times
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Prefer Morning 8:00 to 12:00
Prefer Afternoon 1:30 to 6:30
First Available
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First Available Appointments are 7-10 Days Out
If we get a cancellation we may contact you to see if want to come in earlier than your scheduled appointment.
Appointment Request Date
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Appointment Request Time
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Time
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AM
PM
Alternate Appointment Request Date
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Alternate Appointment Request Time
Time
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AM
PM
How Would You Like to Complete the Patient Forms?
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Complete forms online:
https://docs.google.com/forms/d/e/1FAIpQLSdHlqTZRgexznop-dPQO0exxC8F-kWwvOWunaPzL09RHgQ35Q/viewform?usp=sf_link
Download forms
http://mhaom.com/forms/Patient_Registration_Forms.pdf
Complete in office (arrive 25 minutes before your appointment time)
Email me the forms
Please let us know what conditions you're seeking treatment for.
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Your answer
Some conditions may not require an in-office visit. If your condition(s) fall into this category, we may decide to do a tele-health visit with you.
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I prefer an in-office visit
I don't know what type of visit I need
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Send me a copy of my responses.
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