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Fields marked * are required.
If you specify your e-mail address,
we will send you an email confirmation that we have received your request.
We will telephone you with confirmation of your appointment and will make
every possible effort to accommodate you on the date and time that you have
selected.
You can also schedule your appointment by phone (401) 738-WELL (9355)
Canceling Appointments:
If you can't keep your scheduled appointment,
please call us as soon as possible.
This courtesy makes it possible to give the time
to another patient. A 24-hour cancellation notice is required.
A $20.00 fee will be charged for no-shows.
Confidentiality:
The patient-doctor relationship is unique, sacred and confidential.
Your right to privacy and confidentiality is very important to us.
All information provided will be held in strict confidence.
We will not release any information without written permission
from the individual or responsible party.
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This page last updated: 29-Dec-2004
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