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2017 Surgery Partners Affiliated Covered Entity (SPACE) ACKNOWLEDGMENT OF RECEIPT OF PRIVACY NOTICE I acknowledge that I have received the attached Privacy Notice. PRINT PATIENTS NAME X DATE OF BIRTH
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Who needs acknowledgment of receipt of:
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Businesses and organizations often require acknowledgments of receipt for legal or administrative purposes. This ensures accountability and helps track the movement of important items or documents.
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Employees may need to fill out acknowledgments of receipt when they receive company assets, such as equipment, keys, or confidential information.
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Individuals who receive parcels, registered mail, or important documents may also be asked to provide an acknowledgment of receipt to confirm that they have received the items.
Note: The specific need and requirements for acknowledgment of receipt may vary depending on the situation and organization involved. Always refer to the instructions or guidelines provided with the acknowledgment form to ensure accurate completion.
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