Do you belong to another minority group? (race, religion, color, or national origin; people over 40; and people with physical or mental handicaps)
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Are you willing to be contact in follow-up if needed? Provide your email so we can mobilize our ranks of fellow physicians in this effort in the future. WE WILL NOT SELL OR SHARE AND YOU CAN ALWAYS OPT-OUT.
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Let us know if you have other comments or suggestions.