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    • Home
    • About Us
      • Our Approach
      • Providers
      • Policies
      • Financing
    • Musculoskeletal
      • New Patient
      • Shockwave
      • Platelet-Rich Plasma
      • Prolotherapy
      • Class IV Laser
      • HEIT
    • Aesthetics
      • Consultation
      • Botox
      • Lip Filler
    • Skin
      • Consultation
      • Chemical Peels
      • SkinPen® Microneedling
    • Health
      • IV Infusions
      • Injections
      • NAD+
    • Promos
    • Shop
      • Gift Cards
      • ZO Skin Health Portal
      • Tru Niagen
    • Contact Us
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  • Home
  • About Us
    • Our Approach
    • Providers
    • Policies
    • Financing
  • Musculoskeletal
    • New Patient
    • Shockwave
    • Platelet-Rich Plasma
    • Prolotherapy
    • Class IV Laser
    • HEIT
  • Aesthetics
    • Consultation
    • Botox
    • Lip Filler
  • Skin
    • Consultation
    • Chemical Peels
    • SkinPen® Microneedling
  • Health
    • IV Infusions
    • Injections
    • NAD+
  • Promos
  • Shop
    • Gift Cards
    • ZO Skin Health Portal
    • Tru Niagen
  • Contact Us

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New Patient Forms

If you provided your email address at booking, these forms were sent electronically. If not, please arrive 15 minutes early for your first appointment to accommodate the check-in process and fill out the intake forms. Or simply save time in the office by filling it out ahead of time and bring it with you.

Medical History (pdf)

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MSK Questionnaire (pdf)

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Skincare Questionnaire (pdf)

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Regen Rx

457 South 5th Avenue, Clarion, Pennsylvania 16214

Phone 814-227-5855 Fax 814-297-8050 info@regenrxhealth.com

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FOR NEW PATIENTS

Please note: We do not have a full time secretary. If you are calling the office to schedule an appointment please leave a voicemail or text us and allow up to 48 hours for a returned call. For your convivence, all of our pricing and services are outlined on our website. Thank you for your understanding!

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