div class=trans-pagebutton class=gotoPage data-page=1Page 1button div class=trans-imageimg data-url=documentscan-doc0004-weo-media-2020-03-24-reviewed-date-initial-patient-registrationhtmlpage=1 data-page=1 class=trans-thumb lazyload alt=Page 1: Scan Doc0004 - WEO Media · 2020-03-24 · Reviewed: Date Initial Patient Registration Form Welcome to our office So that we may become better acquainted please provide the following loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAQAAAC1HAwCAAAAC0lEQVR42mM8Uw8AAh0BTZud3BwAAAAASUVORK5CYII= data-src=https:reader034fdocumentsinreader034viewer20220424145f2f099f6e3f17753d650712html5thumbnails1jpg width=140 height=200 divdivdiv class=trans-pagebutton class=gotoPage data-page=2Page 2button div class=trans-imageimg data-url=documentscan-doc0004-weo-media-2020-03-24-reviewed-date-initial-patient-registrationhtmlpage=2 data-page=2 class=trans-thumb lazyload alt=Page 2: Scan Doc0004 - WEO Media · 2020-03-24 · Reviewed: Date Initial Patient Registration Form Welcome to our office So that we may become better acquainted please provide the following loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAQAAAC1HAwCAAAAC0lEQVR42mM8Uw8AAh0BTZud3BwAAAAASUVORK5CYII= data-src=https:reader034fdocumentsinreader034viewer20220424145f2f099f6e3f17753d650712html5thumbnails2jpg width=140 height=200 divdiv