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CHARLES L. WYLIE, DDS & ASSOCIATES 1589 Wheeling Avenue Glen Dale, WV 26038 (304) 8452480 Notice Of Privacy Practices (Effective Date: 7/23/09) As required by the privacy regulations created as a
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Start by gathering all the necessary information required to fill out the form, such as your personal details, dental history, and insurance information.
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Begin filling out the form in a point-by-point manner, providing accurate and relevant information in each field.
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If there are any sections or questions that you are unsure about, consult with your dentist's office for guidance.
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Sign and date the form where indicated.
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Charles L Wylie DDS is a dental practice owned by Charles L Wylie.
Charles L Wylie DDS is required to be filed by the owner, Charles L Wylie.
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The purpose of Charles L Wylie DDS is to report the financial and operational status of the dental practice.
Information such as revenue, expenses, assets, liabilities, and ownership details must be reported on Charles L Wylie DDS.
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