Get HIPAA Regulation & Consent - orlandopsychiatrist.net

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BOARDCERTIFIED HIPPAREGULATIONANDCONSENT: IhavepreviouslyreceivedtheHIPPAregulationanddonotwishtoreceiveacopytoday. IhavereceivedacopyoftheHIPPAregulationtoday. Signature Date IherebyrequestthefollowingregardingtheuseofmyPersonalHealthInformation:
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