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Dr. Andrew Miller & Dr. Francisco Marque 1714 N. Circle Dr. Colorado Springs, CO 80909 Phone (719)6326001 Fax (719)3523871www.SmileCOS.com LifeIsBetter@SmileCOS.comAppointment Agreement We respect

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1. To fill out a form for Dr. Andrew Miller, follow these steps:
2. Obtain the form from the appropriate source. This could be Dr. Miller's office, a medical facility, or an online platform.
3. Read the instructions on the form carefully to ensure you understand what information is required.
4. Begin by providing your personal information, such as your full name, date of birth, and contact details.
5. If applicable, provide any relevant medical history or information that is requested on the form.
6. Follow the form's guidelines for documenting your symptoms or reason for seeking Dr. Miller's assistance.
7. If the form requires any signatures or acknowledgments, ensure that you sign or complete them accurately.
8. Double-check all the information you have provided to make sure it is accurate and complete.
9. Submit the filled-out form using the designated method specified on the form itself or by Dr. Miller's office.
10. If necessary, retain a copy of the completed form for your records.
11. If you have any questions or concerns about filling out the form, don't hesitate to contact Dr. Miller's office for guidance.

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