1818 Marron Road, Suite 103 Carlsbad, CA 92008
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INSTRUCTIONS: Circle the number that applies to you. If a symptom does not apply, don’t circle anything for that symptom.
10:00 AM - 12:30 PM & 4:00 PM - 7:00 PM
8:00 AM - 11:00 AM &
4:00 PM - 6:00 PM
8:00 AM - 11:30 AM
3:00 PM - 5:00 PM
4:00 PM - 7:00 PM
Proudly serving veterans of the United States Armed Forces
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