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Travis Jensen, PM Surgery of the Foot & Ankle New Patient Form Name Age Date of Birth Address: City: Zip: Primary Care Physician: Referring Physician: What is your approximate height? Ft. in What
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Start by opening the official Travis Jensen DPM website.
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Provide your medical history including any previous surgeries, current medications, and known allergies.
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Travis Jensen DPM new patient form is needed by individuals who want to become new patients at Travis Jensen DPM. It is required for establishing their medical records and providing necessary information to the healthcare provider.
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