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<html>
<head>
<title>Ask Dr Barrios</title>
<meta name="GENERATOR" content="Microsoft FrontPage 3.0">
<meta name="Microsoft Border" content="none"></head>
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<p><!--webbot bot="ImageMap" rectangle="(595,1) (736, 20) file:///C:/WEBSHARE/WWWROOT/drbarrios/contact_information_and_location.htm" rectangle="(492,4) (589, 20) file:///C:/WEBSHARE/WWWROOT/drbarrios/hand.htm" rectangle="(373,3) (482, 19) file:///C:/WEBSHARE/WWWROOT/drbarrios/if_you_would_like_to_ask_dr_barr.htm" rectangle="(154,5) (356, 18) http://Adri/drbarrios/news_framepage.htm" rectangle="(78,5) (143, 18) http://Adri/drbarrios/services.htm" rectangle="(10,2) (66, 23) http://Adri/drbarrios/mission.htm" src="New-20.gif" alt="New-20.gif (11785 bytes)" border="0" startspan --><MAP NAME="FrontPageMap"><AREA SHAPE="RECT" COORDS="595, 1, 736, 20" HREF="file:///C:/WEBSHARE/WWWROOT/drbarrios/contact_information_and_location.htm"><AREA SHAPE="RECT" COORDS="492, 4, 589, 20" HREF="file:///C:/WEBSHARE/WWWROOT/drbarrios/hand.htm"><AREA SHAPE="RECT" COORDS="373, 3, 482, 19" HREF="file:///C:/WEBSHARE/WWWROOT/drbarrios/if_you_would_like_to_ask_dr_barr.htm"><AREA SHAPE="RECT" COORDS="154, 5, 356, 18" HREF="http://Adri/drbarrios/news_framepage.htm"><AREA SHAPE="RECT" COORDS="78, 5, 143, 18" HREF="http://Adri/drbarrios/services.htm"><AREA SHAPE="RECT" COORDS="10, 2, 66, 23" HREF="http://Adri/drbarrios/mission.htm"></MAP><a href="_vti_bin/shtml.dll/ask_dr_barrios.htm/map"><img ismap usemap="#FrontPageMap" border="0" height="30" alt="New-20.gif (11785 bytes)" src="New-20.gif" width="764"></a><!--webbot bot="ImageMap" endspan i-checksum="42264" --></p>
<hr width="75%" noshade size="1">
<p><br>
<font face="MS Sans Serif">If you would like to ask Dr Barrios any Questions, You may do
so here. You can also ask for us to arrange an appointment for you.<br>
Comments and suggestions regarding this Web site, can also be submitted here.</font></p>
<form method="POST" action="_vti_bin/shtml.dll/ask_dr_barrios.htm" webbot-action="--WEBBOT-SELF--">
<!--webbot bot="SaveResults" S-Label-Fields="TRUE" S-Builtin-Fields="Date Time REMOTE_NAME REMOTE_USER HTTP_USER_AGENT" S-Form-Fields S-Email-Format="TEXT/PRE" U-File="ask.txt" S-Format="TEXT/TSV" S-Email-Address="alex@bblconsulting.com" startspan --><strong>[FrontPage Save Results Component]</strong><!--webbot bot="SaveResults" endspan i-checksum="6561" --><p><strong>I
would like to </strong><dl>
<dd><input type="radio" name="MessageType" value="Health question">Ask a Health related
question&nbsp;&nbsp; <input type="radio" name="MessageType" value="Appointment">Make an
appointment&nbsp;&nbsp; <input type="radio" checked name="MessageType" value="Suggestion regrding site">Suggestion regarding this web site</dd>
</dl>
<p><strong>Your Information:</strong></p>
<div align="center"><center><table border="0" cellpadding="4" cellspacing="0" width="100%">
<tr>
<td width="25%">First Name: </td>
<td width="25%"><input type="text" size="26" maxlength="256" name="SubjectOther"></td>
<td width="25%">Last Name:</td>
<td width="25%"><input type="text" size="26" maxlength="256" name="SubjectOther1"></td>
</tr>
<tr>
<td width="25%">Street Address: </td>
<td width="25%"><input type="text" size="26" maxlength="256" name="SubjectOther2"></td>
<td width="25%"><div align="left"><p>City: </td>
<td width="25%"><input type="text" size="26" maxlength="256" name="SubjectOther3"></td>
</tr>
<tr>
<td width="25%">Zip:</td>
<td width="25%"><input type="text" size="26" maxlength="256" name="SubjectOther4"></td>
<td width="25%">State: </td>
<td width="25%"><input type="text" size="26" maxlength="256" name="SubjectOther5"></td>
</tr>
<tr>
<td width="25%">Home Phone:</td>
<td width="25%"><input type="text" size="26" maxlength="256" name="SubjectOther6"></td>
<td width="25%">Work Phone:</td>
<td width="25%"><input type="text" size="26" maxlength="256" name="SubjectOther7"></td>
</tr>
<tr>
<td width="25%">Fax:</td>
<td width="25%"><input type="text" size="26" maxlength="256" name="SubjectOther8"></td>
<td width="25%">E-Mail:</td>
<td width="25%"><input type="text" size="26" maxlength="256" name="SubjectOther9"></td>
</tr>
<tr>
<td width="25%">Best Time to reach you.</td>
<td width="25%">&nbsp;<input type="radio" name="MessageType" value="V1">Morning
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <input type="radio" name="MessageType" value="V2">Evening
&nbsp; </td>
<td width="25%"></td>
<td width="25%"></td>
</tr>
</table>
</center></div><dl>
<dd>&nbsp;</dd>
<dt>&nbsp;</dt>
<dd><strong>Enter your&nbsp; question or comments in the space provided below:</strong></dd>
</dl>
<dl>
<dd><textarea name="Comments" rows="5" cols="42"></textarea></dd>
</dl>
<p>&nbsp;<dl>
<dd><pre> <input type="checkbox" name="ContactRequested" value="ContactRequested"> Please contact me as soon as possible regarding this matter.</pre>
</dd>
</dl>
<p><input type="submit" value="Submit Comments"> <input type="reset" value="Clear Form"></p>
</form>
<hr noshade size="1">
<h5 align="center"><span style="FONT-FAMILY: Verdana, Arial Rounded MT Bold; FONT-SIZE: 10pt; FONT-STYLE: normal; FONT-WEIGHT: lighter; LETTER-SPACING: -1px; LINE-HEIGHT: 15px"><font color="#0000A0" face="Verdana" size="1"><a href="http://www.zippnet.com/meet_dr_barrios.htm">MEET WITH DOCTOR BARRIOS </a>&nbsp; |
&nbsp;&nbsp; <a href="http://www.zippnet.com/mission.htm">MISSION</a>&nbsp;&nbsp; |
&nbsp;&nbsp; <a href="http://www.zippnet.com/services.htm">SERVICES</a> &nbsp;&nbsp;&nbsp;
|&nbsp;&nbsp; <a href="http://www.zippnet.com/news_framepage.htm">NEWS ON ORTHOPAEDIC
HEALTH </a>&nbsp; |&nbsp;&nbsp; <a href="http://www.zippnet.com/tips_on_orthopeadic_health_care.htm">TIPS ON PREVENTION</a>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br>
<a href="http://www.zippnet.com/ask_doctor_barrios.htm">ASK DR. BARRIOS </a>&nbsp;&nbsp; |
<a href="http://www.zippnet.com/contact_information_and_location.htm">CONTACT &amp;
LOCATION INFO</a></font><br>
<br>
</span></h5>
<hr noshade size="1">
<h5 align="center"><span style="FONT-FAMILY: Verdana, Arial Rounded MT Bold; FONT-SIZE: 10pt; FONT-STYLE: normal; FONT-WEIGHT: lighter; LETTER-SPACING: -1px; LINE-HEIGHT: 15px"><small><small><font color="#0000a0" face="Verdana"><br>
</font></small></small></span>Copyright © 1997 <strong><font color="#ff0000" face="MS Sans Serif" size="1">South Florida Orthopaedics <a name="Rehabilitation Consultants">Rehabilitation Consultants</a></font></strong> All
rights reserved.<br>
Revised: <!--webbot bot="TimeStamp" S-Type="EDITED" S-Format="%B %d, %Y" startspan -->December 19, 1998<!--webbot bot="TimeStamp" endspan i-checksum="41200" -->.</h5>
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</html>