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Dr. Ali Modiri & Dr. Marjan Moghadam at Stamford Dental Arts would like to check on the health of your sleep. We have recently noticed that many of our patients suffer from a lack of proper sleep. We would like to help you achieve the restful sleep you need. Please consider completing this short questionnaire to help us determine if we are able to help you. Please feel free to call us if you have any questions at 203-504-8745.
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It’s fast. It’s easy. It’s your health.
Follow the navigation at the top to see your progress. It’s as easy as 1 - 2 - 3
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| Results of this secure questionnaire will only be shared with Dr. Ali Modiri & Dr Marjan Moghadam. By selecting “I agree” you agree to make any information in this questionnaire available to Dr. Ali Modiri & Dr Marjan Moghadam. |
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Please confirm agreement.
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