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⚠️ Important Notice:

This form is intended for general inquiries and appointment requests only. Please do not include any personal medical information or details about your health condition.

JF Evermend does not collect or store medical data through this form. If you are experiencing a medical emergency, please call 911 or go to the nearest emergency facility.

By submitting this form, you consent to being contacted by JF Evermend for scheduling or administrative purposes.