Please describe the nature of the emergency that you are experiencing, your name and phone number where you may be reached. A doctor will be contacted immediately.
PRIVACY POLICY
Your information is confidential. In order for a third party to obtain information, regardless of medium: electronically, by phone or fax, we will need you to sign our form giving us your permission to share your medical information. Otherwise we will not share your information.
We have the required forms and privacy policy available in our office.
