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Fax to 972-393-4200 Tax ID 26-4522119 Email to denise points4health. com Points of Health Herbal Medicine Denise Edmiston L.Ac. LCSW 413 W. Bethel Rd. Pursuant to the requirements of 22 TAC 183. 7 of the Texas State Board of Acupuncture Examiners rules relating to Scope of Practice and Tex. Date Acupuncturist Signature Indicate relationship if signing for patient Coppell TX 75019 HIPAA Acknowledgement and Appointment Reminders Form I acknowledge that I have been provided access to Points for...
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