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Pre-Registration
If you choose to utilize our Pre-Registration form, please understand that you do so at your own choice. You also assume all responsibility for any liability arising from electronic submission or from any errors or omissions in the data you provide. Any information you submit via the Pre-Registration form is confidential and is not shared with third parties. For more information, please read our privacy pledge.
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E-mail communication on the Internet may NOT be secure. Western Medical Center - Anaheim makes no warranty,
express or implied, regarding the security of any information to be submitted to it
through this web site. There is a risk that confidential information submitted by you
to Western Medical Center - Anaheim through this web site, including a completed Pre-Registration Form, may
be intercepted illegally by a third party. If you elect to electronically submit a
completed Pre-Registration Form, or any other information, to Western Medical Center - Anaheim through
this web site, you agree that you do so at your own choice and risk, and that you
assume all responsibility for any liability arising from such electronic submission
or from any errors or omissions in the data you provide. You agree to release and
hold Western Medical Center - Anaheim harmless from any and all liability or cause of action arising
from the interception, access or use by a third party of any information
submitted electronically by you through this web site or from any errors or
omissions in the data you provide. Additionally, the provision of any information
to Western Medical Center - Anaheim by you through this web site, including a completed Pre-Registration
Form, does not create or constitute any relationship between you and Western Medical Center - Anaheim (its
directors, officers, employees, shareholders, agents or representatives), or any of
the physicians on its staff, to which any privilege may attach.
I Agree
I Do Not Agree
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