Patient Forms

Electronic Signatures and Records Disclosure

Consumer Disclosure Regarding Conducting Business Electronically, Receiving Electronic Notices and Disclosures and Signing Documents Electronically

Please read the following information, by proceeding forward you are agreeing that you have reviewed the following consumer disclosure information and consent to transact business using electronic communications, to receive notices and disclosures electronically, and to utilize electronic signatures in lieu of using paper documents.

This electronic signature service is provided on behalf of clients, “sending party”, whom are sending forms, electronic documents, notices, disclosures or requesting electronic signatures to you.

Scope of Consent

You agree to receive electronic notices, disclosures, and electronic signature documents with all related and identified documents and disclosures provided over the course of your relationship with the “sending party.”

Paper Copies

You are not required to receive notices or disclosures or sign documents electronically and may request paper copies of documents or disclosures if you prefer to do so.

If you wish to receive paper copies in lieu of electronic documents, you may close this web browser and request paper copies from the “sending party”

Withdrawal of Consent

You have the right to withdraw at any time the consent to the use of electronic signatures and to have records provided in electronic form by notifying “sending party”. Your withdrawal of consent will not be effective until “sending party” receives it and has had a reasonable opportunity to act upon it.

  I consent to use Electronic Records and Signatures

Our Locations

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Hours of Operation

*subject to change due to unforeseen circumstances, weather, etc.

Office Hours

Monday:

8:30 am-5:00 pm

Tuesday:

8:30 am-5:00 pm

Wednesday:

8:30 am-5:00 pm

Thursday:

7:30 am-5:00 pm

Friday:

Admin Hours 8:00am - 11:00am

Saturday:

Closed

Sunday:

Closed

Summer Hours

Monday:

8:00 am-3:30 pm

Tuesday:

8:00 am-3:30 pm

Wednesday:

8:00 am-3:30 pm

Thursday:

8:00 am-4:00 pm

Friday:

Admin Hours 8:00am-11:00am

Saturday:

Closed

Sunday:

Closed