Consent for electronic communication Sharum Sharif, N.D. Whole Health Clinic Naturopathic Medicine 6632 S. 191st Place, Suite E-110 Kent, Washington 98032 Tel. (425) 656-0700 Fax (425) 656-0705 I give Sharum Sharif, ND consent to correspond with me by email. By signing this form, I will also give Whole Health Clinic permission to send me periodic clinic and medical news updates. Signature : Date : Δ