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CWCC618
Exhibit A
Live Oak Health Partners
HIPAA NOTICE OF PRIVACY PRACTICES
Effective Date: May 1, 2015,
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION
ABOUT YOU MAY BE USED AND DISCLOSED AND HOW
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How to fill out live oak health partners
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Start by gathering all the necessary information such as your personal details, medical history, and insurance information.
02
Visit the Live Oak Health Partners website or go to their physical location to obtain a copy of the patient registration form.
03
Fill out the form accurately and completely. Provide all the required information, including your full name, contact details, date of birth, and social security number.
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Provide details about your medical history, including any existing health conditions, previous surgeries, medications you are currently taking, and any allergies or adverse reactions to medications.
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If you have health insurance, make sure to provide your insurance information accurately. This includes the name of the insurance provider, policy number, and any specific requirements or authorizations needed.
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Submit the completed form either online through their website or by delivering it in person to their office.
Who needs live oak health partners?
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Individuals who are in need of primary care, preventive care, or management of chronic conditions can find the services provided by Live Oak Health Partners suitable.
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Live Oak Health Partners caters to patients of all ages, including children, adults, and seniors.
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It is particularly useful for individuals residing in the area where Live Oak Health Partners operates, as it offers convenient access to quality healthcare.
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