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Contact Form Privacy Notice

Please do not use this form to submit medical information, protected health information (PHI), or other sensitive or confidential information. This contact form is intended only for general inquiries and is not a secure method of communication.

Submitting this form does not establish a clinician-patient relationship and should not be used for medical advice, clinical questions, appointment-related health information, or urgent concerns.

If you are an established patient and need to communicate confidential health information, please use the secure patient communication method provided by the practice.

Do not use this form for emergencies or urgent medical concerns. If you are experiencing a medical emergency, call 911 or go to the nearest emergency department.