Please do not send personal or medical information through this form. Communications over the internet are not encrypted, and although it is unlikely, a message could be intercepted and read by someone other than the person it is addressed to.

Please do not include your date of birth, Social Security or insurance member numbers, or details about your health or treatment. It is difficult to understand your situation from written messages - a short note about how we can help is enough, and we will go over the rest with you directly.

You can also call us at 972-989-7655.