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By clicking "Send Message" above, I provide my express written consent by electronic signature to be contacted by Assured Health Group about my request for information including, without limitation, by providing to me information, offers or advertisements by telephone call or text message to the number(s) I have provided on this form (including any cellular number), even if that number is on any local, state or national "Do Not Call" list, sent using an automatic telephone dialer or an artificial or prerecorded voice, and by email or live agent. This consent is not required as a condition of making a purchase. Message and Data rates may apply. Message frequency varies. I have also read and accept the "PRIVACY POLICY" and "TERMS OF USE". I understand that I can revoke this consent at any time. I understand that this website collected my phone number, email, first name, last name, address, date of birth, income and zip code.

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