Struck MD
Contact Us
Contact Us > Registration Form
If you would like to pre-register for your appointment, please click here, print the form, and then fax the completed form to the correct office.

The information provided here is intended to educate the reader about certain medical conditions and certain possible treatment. It is not a substitute for examination, diagnosis, and medical care provided by a licensed and qualified health professional. If you believe you or someone you know suffer from the conditions described herein, please see your health care provider immediately. Do not attempt to treat yourself or anyone else without proper medical supervision.