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Please *DO NOT* use this method to communicate confidential patient information, as our website is not encrypted (secure). The purpose of this form is to request or communicate *GENERAL INFORMATION*. If you wish to communicate with your doctor, please access your account through our secure patient portal or contact our office at 334-271-3804 and ask to leave a message for the coordinator working with your physician. This process ensures your request will be managed promptly and efficiently.

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