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SEND A FORM

The following portal will enable you to securely submit a form to the clinic. Please note that all submissions are reviewed by our administrative staff before they are uploaded to your chart. 
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DO NOT submit a photo unless you have booked an appointment to speak to your physician, or unless it has been requested by your physician directly. 

DO NOT submit any photos of a sensitive nature.

​Please DO NOT make requests of your doctor for tasks to be accomplished or make requests for appointments through this portal.  Please  book an appointment to discuss any requests. 
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