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Contact We Walk Together LLC

Meet Dr. Dixon

Contact Dr. Binta Bojang, DNP, Today 

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New Patient Intake Form

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Upload Insurance Card

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Medical Weight Clinics Intake Form

History of Glaucoma?
History of type 1 Diabetes?
History of Palpitations?
History of Headaches?
History of Seizures?
History of Head Trauma?
Personal history of thyroid cancer?
History of high blood pressure?
History of type 2 Diabetes?
History of Chest pain?
History of Kidney Stones?
History of Head trauma?
History of Pancreatitis?
Family history of thyroid cancer?
Personal general blood work, within 6 months (need result for visit) ?

Female Patients ONLY:

Current contraceptive/Birth Control use

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Informed Consent must be completed before scheduling appointment.

Find out your insurance options by emailing drbojang@wewalktogetherllc.org.

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