Pre-Visit Questionnaire

For the best consultation possible, please fill out as much relevant information in this pre-visit questionnaire as possible. We will try to respond quickly to your reply by email and/ or phone.

Get in Touch with Us

Ask us a question, request a private consultation, or submit a pre-visit questionnaire to Dr. Yates.

Get In touch

Long Contact Form

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    Please include non-medical questions and correspondence only.
  • This field is for validation purposes and should be left unchanged.

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