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Michael J. Rossetti, D.M.D., P.C. Notice of Privacy Practices Acknowledgement and Consent MICHAEL J. ROSSETTI, D.M.D., P.C. By signing below, I acknowledge that I have been provided a copy of the
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Fill out any emergency contact information that the dental office may require, including the name, phone number, and relationship of the person to contact in case of an emergency.
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Michael J. Boschetti DMD is a dentist who offers dental services.
Patients who have received dental services from Michael J. Boschetti DMD may be required to file related paperwork for insurance or tax purposes.
To fill out the paperwork related to Michael J. Boschetti DMD, patients may need to provide personal information, insurance details, and information about the dental services received.
The purpose of filing paperwork related to Michael J. Boschetti DMD is to ensure accurate records of dental services received, for insurance claims and tax deductions.
Information that may need to be reported on paperwork related to Michael J. Boschetti DMD includes patient details, dates of services, insurance information, and details of the dental procedures performed.
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