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PLEASE NOTE: *

This contact form is only for requesting an appointment. For all other needs, please call the office. We make every effort to call you back in a timely manner at the number you have provided (if during business hours). If you have not heard back in a timely manner, or need immediate assistance, please call the office. We may unavailable for the day or busy with other tasks. If this is an EMERGENCY, please go to the emergency room or urgent care. Acknowledgement: Please be advised that completing this appointment request form does not establish a physician-patient relationship with Dr. Hariprasad where one does not already exist, nor does it guarantee an appointment. This non-secure form submission is for inquiries and general practice information only. It cannot be used for providing personal health information or asking health questions. I understand that submitting any information by this medium is not protected by the Health Insurance Portability and Accountability Act (HIPAA) and neither Dr. Ravi Hariprasad nor his business will be responsible if I provide such information. By clicking accept, I acknowledge that I have read and understand the above.

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