| Northwest Senior Management Services |
| Contact Us |
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| Selet a Foot Clinic Location: |
| If you seleted Other, enter in the box below: |
| I want care in my Private Room. (add $5) |
| I am on Coumadin, Blood Thinners or am Diabetic. (add $10) *see note in foot care information |
| How would you Like to make your payment? |
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