I would like to receive correspondence via e-mail Preview on Page 1

I would like to receive correspondence via e-mail 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Locate the section labeled 'I would like to receive correspondence via e-mail?' and select either 'Yes' or 'No' based on your preference.
  3. Ensure that you have filled out your email address correctly in the designated field, as this will be used for all correspondence.
  4. Review all other sections of the form to ensure accuracy, especially personal information such as your name and contact details.
  5. Once completed, save your changes and submit the form through our platform for processing.

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Agreement for Electronic Correspondence

Upon receipt and documentation of this notification, the patient has the right to request communication via email. When you check in, you can informRead more

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