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Please do not provide any confidential information with this form. Information which you believe may be necessary in advance of your appointment should be conveyed either over the telephone directly or in person! Week day appointments may be made forty-eight hours in advance - week-end appointments must be made five days in advance. If circumstances are of an emergency nature, you are encouraged to call 734-0635 -day or night! -- NOTE: FREE consultations are not available after 4:00pm or on weekends.
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