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FOLLOW UP APPOINTMENT REQUEST

DONNA HEDBERG, PMHNP
PORTSMOUTH, NH - (In Office and Telehealth)

SCHEDULE FOR SATURDAY / TELEHEALTH ONLY Required
TELEHEATH METHOD:
WHAT TIME OF DAY? Required
CHOOSE LOCATION:
CHOOSE TELEHEATH METHOD:
Has your insurance changed since your last appointment?
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Policy Reminder - Late Arrivals and No Shows 

If you arrive more than 15 minutes late for your appointment you will not be seen. Your appointment will have to be rescheduled and you will be charged a $150.00 No Show Fee.

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