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Our accounting of the disclosures of your protected health information must generally include the following for each disclosure i the date of the disclosure ii the name and if known the address of the entity or person who received the protected information iii a brief description of the protected health information disclosed and iv a brief statement of the purpose of the disclosure. Elmcroft Of Braeswood 2555 South Braeswood Houston TX 77025 P 713 839-8265 F 713 664-9495 REQUEST FOR AN...
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