Dr. Jacqueline M. Solomon D.O. & Dr. John J. Strobl D.O.

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Forms & Info



New Patient Packet - You can save time by printing and completing the new patient paperwork prior to your first visit. Please bring with you to your appointment along with your insurance card, picture I.D., and copay.




Release of Medical Records - This form allows you to request your records FROM our office to be sent to ANOTHER office.




Records Release - This form allows you to request your records FROM another physician to be sent to OUR office.



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