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	HIPPA Acknowledgement of Notice HIPPA Notice Of Privacy Practices Medically Informed Consent Neck Disability Index OSWESTRY Patient Information Patient Registration Patient Specific Functional Scale Patient Survey Referral Sheet Shoulder Pain and Disability Index
	160 Flynn Avenue Burlington, Vermont 05401 Phone: 802-864-6262 Fax: 802-864-6252	74 Vermont Route 15 Jericho, Vermont 05465 Phone: 802-899-5200 Fax: 802-899-5800