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Email is HIIPA compliant?
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Office Fax:
Are you interested in (check all that applies):
Referring patients Receiving referrals
Office space p/hour p/day Part-time Full-time
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What are your fees for:
RequiredA new client visit:
RequiredFollow up visit:
Do you offer services outside or normal business hours; if yes, what days and in what blocks of times:



You wil receive via email a user ID and a password that will give you access to:
A secure site to input patient information or to review clinical information of a patient you have referred, or a link to reserve available office space if you have an existing contract with the practice for office space.

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