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WEB Current Patient Communicate - v2

Page One

The completed form will be emailed to a clinician at Gateway. As with all electronic communications, email is inherently insecure. If you want to guarantee the security of your message, please install a secure email service, like Virtru, and email our office manager directly at hershe@gatewaypsychiatric.com.
Please complete this form if you have a general question. For questions related to financial, scheduling, or medication, please refer back to the Online Office and click the appropriate icon. Thank you.
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(We are able to respond more quickly via email.)