Personal Information
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Health Information Protection Act HIPAA
We are committed to protecting the privacy and security of your health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA). Learn More.
How We Use Your Information
The information you provide in this form is essential for us to schedule your appointment efficiently and it allows us to better prepare for your consultation:
- Allows us to send confirmations and reminders.
- Helps us to understand your unique healthcare needs better.
- Provides valuable context for our medical team to understand your specific situation and better prepare for your consultation.
We will only use your information for the purposes outlined above. We do not share your information with third parties without your explicit consent, except as required by law.
Your Appointment Details
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