Seminar Sign-Up Form

Please use the form below to sign up for your seminar.

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DisclaimerWe cannot accept any medical questions sent via email. If you have medical questions, please call us and schedule an appointment with one of our doctors. Please be advised that by using this form to contact our office(s), we are not confirming an appointment nor establishing a physician-patient relationship. As a user of this mode of communication and of our website, you assume all risks with placing confidential information into this portal. Our office will follow up with you within 24 to 48 business hours. This form of communication is not intended for acute, emergency, or life-threatening health conditions. If you believe you are having a health emergency, contact 911 or go to your nearest emergency department.