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Consumer Access Request Form

  • If you do not have an email address, please type "none". Fields with * are required
  • Information Being Requested

  • We do not sell personal information that we have collected from consumers to any third parties. By completing this form, you are making a Consumer Access request under California Consumer Privacy Act for personal information collected, held and disclosed about you that you are entitled to receive. On this date , I affirm that I am the consumer, or authorized by the consumer to act on their behalf. I understand that misrepresentation may be subject to legal action.
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ABOUT YOUR SURGERY

Find answers to frequently asked questions that may help you for before during, and after your surgery.

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DIRECT SCREEN PROGRAM

Our Direct Screen Colonoscopy Program© is a no-hassle, lower-cost, and patient-centered approach to colorectal cancer screening.

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MEET OUR STAFF

Our mission is to care for every patient and their family as if they were our own. Meet the staff & physicians that make this happen.

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