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If this is a medical emergency, call 911 immediately. If you have a medical question or are experiencing symptoms, please visit your nearest Urgent Care or Emergency Department. You are prohibited from listing health information, such as symptoms or medical history, as we cannot provide diagnosis or treatment by email. For your security, please do not use this form to share personal information, health information, social security numbers or credit card numbers. Instead, we recommend call your clinic and/or doctor directly. Information collected above may be used to schedule an appointment or to contact you. We will reply to you within 48 business hours, Monday through Friday 8:00 a.m. to 5:00 p.m. PST
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