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Please confirm you have read the following statements

I understand I will be responsible for payment at the time of sevice I understand this practice does not file with insurance I understand I may use HSA/FSA for payment according to the limitations of my fund provider I understand I may use invoices/superbills provided to file an insurance claim on my own

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.