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To register for your procedure, please complete the form below. If you are registering for childbirth, please use the Childbirth Registration
form instead of this form. When you submit a form, a representative will contact you by the next business day to confirm or discuss your request. If your procedure is scheduled to
occur within the next 24 hours, please contact us at the scheduling office for your location.
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so please consider that when selecting a way for us to contact you. If you select phone or email as your preferred method of contact, every effort will be made to return your request by the next business day.
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