* a detailed intake form will be sent to you following receipt of your request.
Check your spam filter if you do not receive a response within 48 hours.
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**patients must reside in Alabama, Arizona, Colorado, Delaware, Florida, Georgia, Illinois, Kansas, Minnesota, Missouri, New Hampshire, New Jersey, Pennsylvania, Tennessee, Texas, Washington, West Virginia, Wisconsin, Maryland, Michigan, or Ohio, OR must be able to come to AL, AZ, CO, DE, FL, GA, IL, KS, MN, MO, NH, NJ, PA, TN, TX, WA, WI, or WV for appointments.
Thank you for your inquiry.
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