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Syracuse Prosthetic Orthotic Center

Where Tradition & Technology Transform Lives

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Forms & Documents

Patient Demographic Form
Formulario demográfico del paciente
Patient Medical History Form
Formulario de historial médico del paciente
Payment Policy Form
Formulario de política de pago
Insurance Information
Información del seguro
Privacy Policy
Política de privacidad
Medical Records Release Form
Formulario de divulgación de registros médicos

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(855) 476-9697

1124 E. Fayette St.
Syracuse, NY 13210

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