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30s PRIVACYSECURITYNote this is a NPP that reflects Omnibus changes as of March 2013 SOUTH MISSISSIPPI SMILES NOTICE OF PRIVACY PRACTICES Effective Date: July 8th, 2014 THIS NOTICE DESCRIBES HOW MEDICAL
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How to fill out South Mississippi Smiles:

01
Visit the South Mississippi Smiles website.
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Locate the section for filling out the South Mississippi Smiles application form.
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Read the instructions carefully before starting to fill out the form.
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Provide all the required personal information, such as your name, address, phone number, and email.
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Fill out the relevant sections regarding your dental history and any specific dental issues you may be facing.
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Make sure to accurately fill out the insurance information section, if applicable.
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Submit the filled-out South Mississippi Smiles application form as per the instructions provided.

Who needs South Mississippi Smiles:

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Individuals who require dental care but are unable to afford it.
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South Mississippi Smiles is a dental clinic located in Mississippi that provides dental services to the community.
Patients who have received services or treatment from South Mississippi Smiles may be required to file any necessary paperwork or claims for their dental visits.
To fill out South Mississippi Smiles forms, patients may need to provide personal information, insurance details, and treatment notes related to their dental visit.
The purpose of South Mississippi Smiles is to provide quality dental care and services to its patients in the community.
Information such as patient demographics, insurance information, treatment codes, and fees may need to be reported on South Mississippi Smiles forms.
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