Fillable Privacy Policy - Stony Brook Dental Group

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Stony Brook Dental Group 2500 Nesconset Hwy Suite 11A Stony Brook, NY 11790 Tel: (631) 7517171 ACKNOWLEDGMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES I acknowledge that I have been provided a copy of Stony Brook Dental Groups Notice of Privacy Practices, which has an effective date of 09/23/2013, and which describes how my health information may be used and disclosed. I understand that you have the right to...
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