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If you are in need of our services, please fill out the form below.
The appropriate staff member will contact you, and provide you with information
on how to retain our services.
All client/consumer information provided will be held in the strictest of confidence.
The Information contained in the transmission accompanying this notice is CONFIDENTIAL and protected by the physician/patient privilege. It is intended only for the use of the individual or entity identified above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination or distribution of the accompanying communication is prohibited. The physician/patient privilege is not waived by the parties sending the accompanying document.