Date of Birth:
Best Contact Number:
Insurance- Front and back of insurance cards (if Tricare front and back of military ID) and front of Driver's license (even if Tricare we still need this)
Please be on the lookout for 2 emails. One will be from a firstname.lastname@example.org this will be your online patient portal that we will need you to fill out. The second email will be from an email@example.com.
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We care about you, your health and safety. Until further notice all appointments will be telehealth.
Stay safe! Stay Healthy!