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Anthony J. Muffoletto, MD, PA
To Schedule An Appointment
Call 281-335-1111
Patient Resources // New Patient Forms
In order to expedite your visit, please download and complete the appropriate forms provided below before arriving. Your cooperation is greatly appreciated.
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Neck/Upper Back: Please complete this form if you are a new patient experiencing neck/upper back and/or arm symptoms.
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Mid/Lower Back: Please complete this form if you are a new patient experiencing mid/low back and/or leg symptoms.
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Medical History: Please complete this form if you are a new patient or if you have not done so in the last 12 months.
// Instructional Video
How to Treat Low Back Pain at Home
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