To protect your privacy, we ask only minimal questions on this form. We will ask more specific questions when we follow up via phone.
Also, if you do not hear back from us within 1 hour, please call 520-415-6363, as there could have been an issue with the message getting through. We don't want to miss an opportunity to provice excellent care to you or your loved one.
Thank you,
Bob and Jan
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If you choose to not "opt-in" please call the office at 520-415-6363, as this form will not be sent if this box is not checked.
Thank you for contacting us.
If you do not hear from us within 2-4 hours, PLEASE CALL 520-415-6363 in case there was a glitch in the system.
Thanks Much!
Jan and Bob
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Please call or text the office at 520-415-6363
