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HIPAA Notice of Privacy Practices
Revised 2013
Bating Family Dentistry, PSC
2617 Legends Way, Crestview Hills, KY 41017
8593412234Effective as of April/14/2003
Revised March/26/2013THIS NOTICE DESCRIBES
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How to fill out beiting family dentistrypsc
How to fill out beiting family dentistrypsc
01
Open the beiting family dentistrypsc website
02
Click on the 'Forms' tab on the navigation menu
03
Scroll down and locate the 'Patient Information Form'
04
Download the patient information form by clicking on the download button
05
Open the downloaded form and fill in your personal details
06
Provide accurate information in each field, including your name, address, phone number, and insurance details
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Fill out the medical history section with relevant information and any known allergies or medical conditions
08
Read and acknowledge the office policies and sign the form where required
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Review the completed form for any errors or missing information
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Once you are satisfied with the form, submit it either by uploading it on the website or bringing a printed copy to your appointment
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