Good Faith Estimate - The Orthopaedic Surgery Center

Good Faith Estimate

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N/A (No Appointment Scheduled)
Preferred Method of Communication to Receive Estimate (Select One Method)

Email is not a HIPAA compliant method of communication. When we send you an email, or you send us an email, the information that is sent is not encrypted. This means a third party may be able to access the information and read it since it is transmitted over the Internet.

By submitting this form online, the patient authorized email as a communication method.

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