Patient Registration Questions
As you are aware, general Internet e-mail is inherently not secure. We are currently in the process of enhancing this e-mail service and recommend that items considered confidential or private in nature not be communicated through e-mail at this time (i.e., Social Security Numbers, Diagnosis Information, Credit Card Numbers, etc.).
Please fill out the form below to send an e-mail. Please include detailed information so we are better able to serve you.
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General Internet communication is inherently not secure. For this reason, we highly recommend that data considered confidential or private in nature not be submitted on this form. (e.g., Social Security Numbers, Diagnosis Information, Credit Card Numbers, etc.)