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Have you had spinal surgery in the past 12 months? *

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Have you been diagnosed with any vascular disorders? *

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Do you have advanced ankylosing spondylitis? *

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I understand my insurance company will not be billed for this decompression therapy. *

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I understand a REFUNDABLE deposit of $50 is required to reserve my appointment time with Dr. Douglas. *

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Call Us Today: 508-684-2992

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