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We are committed to protecting your privacy and know it is important for you to understand how your information is handled.

In submitting the information contained in this form, you:

Acknowledge that your health provider will collect such information (including email address) for the purpose of enabling health related communications; and

Acknowledge the information provided to the practice through this form may be shared securely with third parties for the purpose of supporting the practice in the creation and distribution of relevant articles and communication

Consent to the practice Disclaimer and Privacy Policy, and to third parties handling your personal and sensitive information in accordance with this Privacy Policy.

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