How would you like us to communicate with you?
Our office sends appointment reminders, information about treatment, payment and insurance, and other communications including but not limited to newsletters, events, etc. Please tell us how you would like us to communicate with you.
For Phone and Text Communications:
This form is optional. You are not required to sign this form,
and you do not need to sign it to receive care in our office.
Please call right away if you get a new telephone number!