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Becoming a Patient at GMA

Becoming a Patient at GMA

Use this form to contact our New Patient Coordinator about joining the Gordon Medical community of patients.***CONFIDENTIALITY NOTICE***

Please be aware that e-mail used to send this form is not an encrypted form of communication.  If you have any questions regarding this, please contact our office at (415) 757-6100.

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Privacy Policy: We recommend that you do NOT send us any diagnosis, symptoms, or specific questions about your health through this form, as it is not a secure form of communication. Once we have your request, a New Patient Coordinator will contact you, and any necessary information can be communicated then.

GMA does not store data from our contact forms on this website. When you fill out a contact form, the contact information you provide is converted into an email to our office. That contact information may be used to contact you about the request you make in the contact form. Your contact information is not used in any other way. We will not contact you by email or phone with any other information unless you become a patient, and sign up for our email news service.

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