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1. Click here to complete and submit your "Patient
Information" Form.
2. Click here to complete and submit
a second form that acknowledges we have provided for you our Notice of Privacy Document.
If you would like to read the "Notice of Privacy" or even print it out.
Click here.
(To get back to this page use the back arrow at the top left corner of your browser.)
If you don't have the Adobe Reader software needed to review this notice you may
download it free Click
here.
This could take a few minutes depending on your connection speed.
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