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SEND A FORM

The following portal will enable you to securely submit a form to the clinic. Please note that all submissions are reviewed by our administrative staff before they are uploaded to your chart. 

DO NOT submit a photo unless you have booked an appointment to speak to your physician, or unless it has been requested by your physician directly. 

DO NOT submit any photos of a sensitive nature.

Please DO NOT make requests of your doctor for tasks to be accomplished or make requests for appointments through this portal.  Please  book an appointment to discuss any requests. 
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