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ACKNOWLEDGMENT OF RECEIPT OF THE NOTICE OF PRIVACY PRACTICES
OF THE OSF HEALTHCARE
SINGLE AFFILIATED COVERED ENTITY
I acknowledge that I have received or been offered the Notice of Privacy Practices
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What is acknowledgement of receipt?
Acknowledgement of receipt is a document or form used to confirm the receipt of a particular item, such as a payment, package, or official letter.
Who is required to file acknowledgement of receipt?
The party or individual who receives a specific item or document is typically responsible for filing the acknowledgement of receipt.
How to fill out acknowledgement of receipt?
To fill out an acknowledgement of receipt, you usually need to provide details such as the date of receipt, the item or document received, name and signature of the person receiving it.
What is the purpose of acknowledgement of receipt?
The purpose of the acknowledgement of receipt is to officially acknowledge and confirm the receipt of a particular item, creating a record for future reference and accountability.
What information must be reported on acknowledgement of receipt?
The information that must be reported on an acknowledgement of receipt typically includes the date of receipt, description of the received item, quantity or amount, and the name and signature of the person receiving it.
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