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1550 S Custer RD Ste 100 McKinney TX 75070 972-346-2992 office ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES HIPAA You may refuse to sign this Acknowledgement Notice of Privacy Practices. Thank you for answering the following questions. Are you under a physicians care now If yes please explain Have you ever been hospitalized or had major surgery Have you had a serious head or neck injury Are you taking any medications pills or drugs Do you take or have you taken Phen-Fen or Redux...

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