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John Boston D. O. Associates Internal Medicine 950 E. Bogard Rd. Ste. 228 Wasilla AK 99654 Phone 907 376-8938 Fax 907 376-8939 HIPAA DISCLOSURE FORM In order to comply with specific rules regarding HIPAA Health Insurance Portability Accountability Act of 1996 we ask that our patients complete and sign this privacy and security of health information form. Name Date It is not the policy of Dr. John Boston s office to leave medical information pertaining to my care by the following methods and...
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228 Wasilla AK 99654 is a specific address located in Wasilla, Alaska with a zip code 99654.
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