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Liza Maniquis-Smigel, MD
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LIZA MANIQUIS-SMIGEL, M.D., LLC
Physical Medicine & Rehabilitation
Spine, Sports, & Electrodiagnostic Medicine Prolotherapy
136-A Ululani Street, Hilo, HI 96720
Phone: (808) 933-3444 Fax: 933-3433
Patient Registration
Referring M.D.
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INSURANCE AND FINANCIAL RESPONSIBILITY (Receptionist will copy your insurance card)
Please complete the following information on type of accident:
Are these visits covered by medical insurance?
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Online Forms For Your Visit Patient Information
Online Forms For Your Visit Patient Information
Online Forms For Your Visit Patient Information