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Forms

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  2. Forms
NEW PATIENT FORM ~ PDF

or download editable Word document

PATIENT UPDATE FORM ~ PDF

or download editable Word document

STATEMENT OF MEDICAL NECESSITY FOR ANESTHESIOLOGY ~ PDF

or download editable Word document

2129 Argillite Rd.
Flatwoods, KY 41139
606-329-1440

M-TH: 8 a.m. to 3 p.m.
FRI-SAT-SUN: Closed

ABOUT US
Meet Dr. Mussetter
Our History
Our Location
SERVICES
The Nitty Gritty
Insurance Info
Sedation & General Anesthesia
Special Needs (age 0-12)
Pay Your Bill

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TERMS OF USE & PRIVACY POLICY

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