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*Patient Please ONLY sign and date at the bottom Dr. Joseph J. Hamlin, D. C 5035 NE Elam Young Pkwy. Suite 300 Hillsboro, OR 97124 P.5036263700 F.5036436667 OregonSpineAndDisc.com Frontier OregonSpineAndDisc.com
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Begin by providing your personal information accurately. This might include your full name, date of birth, address, and contact information. Double-check the spelling and format of this information to ensure it is correct.
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Patient privacy refers to the legal right of a patient to have their personal and medical information kept confidential.
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Patient privacy forms typically require information such as name, date of birth, medical history, and contact details.
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