Release of Information

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PERSONAL INFORMATION


Authorized Personnel
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I understand that I may revoke this consent at any time by providing written notice, and after one year this consent automatically expires. I have been informed what information will be given, its purpose, and who will receive the information.

 

Office Hours

 

Monday – Thursday 9 AM – 7 PM

Friday By Appointment Only

Saturdays  8 AM – 3 PM

 

*Times are subject to change.  Please contact our office with your scheduling questions.

 

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