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To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.

Genesis is proud to be accredited as a Patient Centered Medical Home through the NCQA. Genesis Community Health provides healthcare that is relationship-based that addresses the whole person and their needs. Genesis provides resources for patient education and self-management support. Please speak with your medical provider to obtain the resource list.

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