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Catawba Valley Dental Care Section A: The Patient Name: Address: Telephone: Email: Social Security Number: Section B: Acknowledgement of Receipt of Privacy Practices Notice I, acknowledge that I have
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Privacy receiptdocx is a document used to acknowledge the receipt of privacy policies or statements.
Individuals or entities who receive privacy policies or statements are required to file privacy receiptdocx.
Privacy receiptdocx can be filled out by providing your information, signing to acknowledge receipt of privacy policies, and dating the document.
The purpose of privacy receiptdocx is to ensure individuals or entities have received and acknowledged the privacy policies or statements.
The information that must be reported on privacy receiptdocx includes the name of the individual or entity receiving the privacy policies, the date of receipt, and the signature acknowledging receipt.
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