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*Disclaimer: This form is not intended for medical diagnosis or as a substitute for medical care. If you are experiencing an emergency during our office hours, please call into your local office to make an appointment. If you are experiencing an emergency after hours, please call 1-800-598-3301 to be connected to the doctor on call. While we value our patients and will try to respond to your inquiry in a timely manner, this form is not closely monitored and is not intended for addressing clinical problems that you may be experiencing. For billing or scheduling inquiries, please call us directly at 1-304-598-3301 and we will be happy to assist you.

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