
Get the free Acknowledgement of Privacy Notice - Periodontal Associates of ...
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6268 Poplar Avenue Memphis, TN 38119 phone 9017613770 toll-free 8008241628 fax 9017613775 www.PerioMem.com Info PerioMem.com Roger D. Braddock, D.D.S. Partners Emeritus: Mitchel S. Goat, D.D.S., M.S.
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How to fill out acknowledgement of privacy notice

How to fill out acknowledgement of privacy notice?
01
Read the privacy notice carefully to understand the information it contains and the purpose of the acknowledgement.
02
Fill in your personal details accurately, including your name, address, phone number, and email address.
03
Sign and date the acknowledgement form to indicate your understanding and acceptance of the privacy notice terms.
04
Return the completed acknowledgement form to the appropriate party or organization as instructed in the privacy notice.
Who needs acknowledgement of privacy notice?
01
Individuals who are users or customers of a company or organization that collects and processes personal data.
02
Employees or staff members who have access to sensitive or confidential information.
03
Participants or attendees of events or programs where personal data may be collected.
04
Anyone who interacts with a company or organization and is subject to their privacy policies and practices.
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