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This request form is not intended as a tool for reporting a medical emergency or medical problem. It will not go to a physician and is only monitored during normal business hours. If you have critical or timely information, please contact us directly. If you have a medical emergency, please call 911


Please note: Due to the coronavirus outbreak, we are only accepting telemedicine (virtual) appointments. In-office visits and emergency procedures are required if your condition requires a hands-on examination.

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