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Medical Intake Forms

Insurance Covered Medical Intake Forms

Self-Pay Services Intake Forms

Self-Pay Sexual Wellness Male [ED, Stress Incontinence]
Self-Pay Medical Visit for: [illness, Heart Disease, Cancer, Fatigue Lyme, COPD, Asthma, Fluoroquinolone Toxicity Other]
Self-Pay Hormone Replacement Male
Self-Pay Hormone Replacement Female
CONSULTATIONS
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Request Information About a Medical Consultation with Dr. Cruz or book a Free Discovery Call.
If you or someone close to you is living with the side effects of brain trauma, stroke, or Parkinson’s, there is new hope. With the right treatment, symptoms can often be reduced and quality of life improved.
Dr. Cruz is one of only a few doctors in the U.S. performing the highly specialized Perispinal Etanercept procedure, and patients - even those suffering for over 10 years - are reporting real results.

 

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