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Please complete the form below with any inquiries regarding my services or to set up a brief phone consult.

By submitting this form via this web portal, you acknowledge and accept that risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By accepting the terms & conditions, you are not holding Dr. Priscilla Shim responsible for unauthorized use, disclosure, or access of your protected health information sent via this electronic means. 

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