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BY SUBMITTING THIS FORM, YOU AGREE TO RECEIVE TEXT MESSAGE REMINDERS IN REGARDS TO YOUR SESSION TIME AND DAY. PLEASE NOTE WE WILL ATTEMPT TO CONFIRM YOUR APPOINEMENT VIA TEXT MESSAGE OR PHONE CALL. IF WE ARE UNABLE TO CONFIRM YOUR APPOINTMENT AFTER SEVERAL TRIES, YOUR APPOINTMENT WILL BE CANCELED. PLEASE DOUBLE CHECK THE PHONE NUMBER ENTERED. STANDARD TEXT MESSAGE RATES MAY APPLY. TO CANCEL REMINDERS, REPLY STOP AT ANYTIME

PLEASE GIVE US A CALL AT 866.476.4763 WITH ANY QUESTIONS.

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