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New Patient Inquiry

Before completing this form, please note that the submission of this form will generate a message that is sent to a HIPAA compliant email address monitored by Dr. Newcomer. However, as with all electronic communication, this form is not secure and cannot be guaranteed as such. Electronic communications can be intercepted, delayed, misdirected, amended, altered, corrupted, lost or destroyed. If you have concerns about communicating in this format or would like to share specific sensitive information about your referral, please send an email to hello@alisonnewcomerphd.com to set up a brief phone call.