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Get PHYSICIAN SCREENING COLLECTION FORM: STANDARD

Ic Blood Pressure (rest) mmHg Diastolic Blood Pressure (rest) mmHg Height in Weight lbs Waist Circumference in 2015 Viverae, Inc. All Rights Reserved Yes / Units Total Cholesterol Fasting / No You can submit your form in one of three ways: (1) upload from the Resources page on MyViverae.com (2) via fax using the number below, (3) via mail using the address below. Secure Fax: (844) 496 7205 Address: Attn: Screening Services Department, 10670 N. Central Expwy., Suite 250, Da.

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