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Disclaimer:
This form is for simple notification of routine matters only.
If this is an emergency, call 911 or the V.A. at (530) 879-5050 during clinic hours.
I will generally check messages on working days; but for urgent matters, it is best to call the clinic directly.
Also be advised that this form transmits nonsecure information over the internet.


Name:  (required)

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Phone: 
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I need a refill of  .

  I need to cancel and reschedule my appointment.

  Please make me a new appointment.



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