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Electronic Form Disclaimer
Please be advised that by using this form to contact our office(s), we are not confirming an appointment nor establishing
a physician-patient relationship. As a user of this mode of communication and of our website, you assume all risks with
placing confidential information into this portal. Our office will follow up with you within 24 to 48 business hours. This
form of communication is not intended for acute, emergency, or life-threatening health conditions. If you believe you are
having a health emergency, contact 911 or go to your nearest emergency department.
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