Virtual Consultation Dallas, TX, Flower Mound

Virtual Consultation

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HOW TO SCHEDULE YOUR VIRTUAL CONSULTATION

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HIPAA ACKNOWLEDGEMENT

Please be aware that this is a secure email network under HIPAA guidelines. Do not submit any personal or private information unless you are authorized and have voluntarily consented to do so. We are not liable for any HIPAA violations. Understand that if you email us, you are agreeing to the use of this secure method and understand that all replies will be sent by standard (unsecured) email, which you are hereby authorizing. By checking this box you hereby agree to hold Dr. Stephanie Teotia, including its doctors and affiliates, harmless from any hacking or any other unauthorized use of your personal information by outside parties.

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By checking this box, I acknowledge my understanding of the HIPAA Policy and agree with its contents. Checking this box is also my signature to agree to receive text messages and emails about my healthcare and for marketing purposes, including autodialed, from Stephanie K Teotia MD PA at the number below. I understand that this consent is not a condition of purchasing any goods or services, I can opt out at any time, message/data rates may apply per my phone plan, and opting-in includes acceptance of our Privacy Policy and Terms of Service. Stephanie K Teotia MD PA (214) 823-9652 *