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Subject SubjectAppointmentsBilling/InsuranceGeneral/Non-medicalMedical RecordsPatient PortalReferrals

Message

Because this isn’t a secure message, don’t include any protected health information such as patient name, date of birth, Social Security number, or specific medical questions. I understand this and accept responsibility for any protected health information I choose to submit. Because this isn’t a secure message, don’t include any protected health information such as patient name, date of birth, Social Security number, or specific medical questions. I understand this and accept responsibility for any protected health information I choose to submit. I agree