This form is an example of what patients can expect. The MER will be completed online at the center and does not need to be printed and completed beforehand.

This form is an example of what patients can expect. The MER will be completed online at the center and does not need to be printed and completed beforehand.

This form is an example of what patients can expect. The MER will be completed online at the center and does not need to be printed and completed beforehand.

This form is an example of what patients can expect. The MER will be completed online at the center and does not need to be printed and completed beforehand.

This form is an example of what patients can expect. The MER will be completed online at the center and does not need to be printed and completed beforehand.

This form is an example of what patients can expect. The MER will be completed online at the center and does not need to be printed and completed beforehand.