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Dr. Gail Jackson
Dr. Gail Jackson

Balancing Women

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  • 310.451.2300
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Forms

New Patient Form
Release Of Liability
Pre-visit COVID-19 Questionairre
Patient Introduction
Male Lab Form
Male Hormone Paperwork
Female Hormone Paperwork
Ladylift Paperwork
Lab Form
Hormone Status Evaluation
Authorization To Pay Doctor
Forever Fabulous Questionnaire
Forever Fabulous Food List
Forever Fabulous Consent
New Patient Information
Post Care With Sutra

CONTACT

Phone:310.451.2300 / Fax:310.451.2325

 2211 Corinth, Suite #210, Los Angeles, California

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