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In case of emergency, please call 911 or go to your nearest emergency room.

By submitting this form, you understand and agree that any information submitted will be forwarded to our office by email and not via a secure messaging system. This form should not be used to transmit private health information, and we disclaim all warranties with respect to the privacy and confidentiality of any information submitted through this form. We try to be as responsive as possible and will respond in within 24-48 hours.