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By submitting this form via this web portal, you acknowledge and accept the risks of communicating any health information via this unencrypted email and electronic messaging and wish to continue despite those risks. You agree to hold Communication Revelations, LLC harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.
NOW SERVING TWO LOCATIONS!
8920 GA HWY 85 Unit B
Waverly Hall, GA 31837
&
113 Bascom Court, Suite D
Columbus, GA 31909
info@communicationrevelationsllc.com
Tel: 706-350-2004
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