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The information contained in this transmission is confidential and may be privileged and/or contain confidential health information that is legally protected by state and federal law, including the Health Insurance Portability and Accountability Act of 1996 and related regulations. This information is intended only for the use of the individual or organization to whom it is addressed. If it is not meant for you please notify the sender immediately and destroy the original message and all copies. Use disclosure, distribution or copying of documents transmitted to you in error is strictly prohibited. Thank you. 

Note to Patients: There are inherent confidentiality risks in communicating by email. While safeguards are in place to ensure your privacy, you should not use email communication if you are concerned about any breaches of privacy that might inadvertently occur.


I try to return all calls and emails as promptly as possible. I am more likely to respond rapidly to emails.  If emails are more than a few sentences long I may have to charge for my time to review and respond.  Since all electronic communication has risks I ask that you review and sign this form:  Email Consent Form (PDF). 

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