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    New Patient Info

    By agreeing to the terms of our secure forms, you will enter a secure area of our web site. RMI will not be held responsible in the event your electronic message is not transmitted due to technical problems related to this site or to the hosting server. All personal identifying information is encrypted and your message will not be internally or externally forwarded to other parties. The information will be used solely by RMI.

    **IMPORTANT** We will still need to verify this information on the day of your arrival to ensure accuracy and completeness. It is important for your care that your records are completely accurate.