By submitting this form or scheduling an introductory call, you acknowledge and agree that this initial communication is strictly for administrative, informational, and scheduling purposes. This inquiry and any subsequent intake call do not constitute medical advice, diagnosis, or treatment, and do not establish a provider-patient relationship between you and our clinic. A formal provider-patient relationship is only formed after a licensed medical provider has reviewed your history, conducted a formal evaluation, and explicitly accepted you as a patient. If you are experiencing a medical emergency, please call 911 or visit the nearest emergency room immediately.