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MINNESOTA BOARD OF PSYCHOLOGY (612) 617-2230; Fax (612) 617-2240 MN Relay Service 1(800) 627-3529 www.psychologyboard.state.mn.us Email: psychology. Board state.MN.us CONVERSION FROM LICENSED PSYCHOLOGICAL

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Who needs the minnesotaboardofpsyachologyprivacyact form:

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Individuals who are seeking psychological services in Minnesota and are required to provide their consent for specific privacy-related matters.

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Psychologists or professionals in the field of psychology who need to obtain consent from their clients or patients regarding privacy policies and practices.

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Any organization or institution that deals with the collection, use, or disclosure of personal information in connection with psychological services in Minnesota. These organizations may need to ensure compliance with the state's privacy laws and regulations.

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