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Dr. Charlie Seltzer
drseltzer@drseltzerweightloss.com
Lean4Life
info@drseltzerweightloss.com
1601 Walnut Street, Suite 810
Philadelphia, PA 19102
USA
215-279-8376

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Bariatric Consent Form
Bariatric Patient History Questionnaire
Bio-Consent
Medicare Opt-Out Contract
Patient Information Form
Thyroid Hormone Consent