COMMUNITY CONFIRM RECHECK APPOINTMENT
ONLY FOR CURRENT PATIENTS AT CHEW - MUST HAVE A SCHEDULED APPOINTMENT. TO SCHEDULE CALL 469-620-2828
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Name
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List all services needing to be done today:
Boosters or any medical recheck can be listed above
TO CONFIRM YOUR APPOINTMENT, PLEASE PAY YOUR $20 DEPOSIT. THIS DEPOSIT WILL BE APPLIED TOWARDS YOUR VISIT
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A DEPOST OF AT LEAST $20 IS REQUIRED 24 HOURS PRIOR TO YOUR APPOINTMENT
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