Authorization for Email Communication

In order to permit us to correspond with you electronically in respect of your personal health information, please ensure that you have completed our Authorization for Email Communication (see below).

However, even if you have not completed our Authorization for Email Communication (see below), if you send us a message without any indication that we should not respond by electronically, we will usually, but not always, infer that we have your consent to at least reply to your correspondence electronically.

To submit your authorization, you have two options:

1. Electronic Acknowledgment

   • Please review the following form: Authorization for Email Communication.

   • If you are in agreement, please send our administrative staff a message

2. In-Person Acknowledgment

   1. Please download our template Authorization for Email Communication.

   2. Please print out, review, and execute the authorization. If you do not have access to a printer, you are welcome to visit our clinic onsite to complete this request. Please be advised you may need to wait for our staff to assist you. For clinic hours, please review this webpage.

   3. Please provide your signed authorization to us in person.