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NEWHAMPSHIRENOTICEFORM NoticeofCliniciansPoliciesandPracticestoProtectthePrivacyof YourHealthInformation THIS NOTICE DESCRIBES HOW PSYCHOLOGICAL AND MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED
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This notice describes how to report certain information.
Taxpayers who meet certain criteria are required to file this notice.
To fill out this notice, taxpayers must provide specific information as outlined in the instructions.
The purpose of this notice is to ensure compliance with reporting requirements.
Taxpayers must report specific financial information as required by law.
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