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A. Michael Marasco DPM. FACFAS, CHCQM
Physician/Consultant
Medicine and Surgery of the Foot and Ankle
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219.629.4495
New Patient Forms
You have been asked to provide our office with current health information as requested by recent federal guidelines for electronic patient medical records (EHR)and federal privacy standards (HIPPA). You may complete these forms when you arrive for your appointment. Your cooperation in the completion of these forms is important and appreciated.
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