What is Purpose:In cases where NAME OF DENTIST has directed not to rely on Acknowledgements as a basis to use or disclose health ination, this is used to obtain a patients consent to our use and disclosure of the patients protected health Form?
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Purpose:In cases where NAME OF DENTIST has directed not to rely on Acknowledgements as a basis to use or disclose health ination, this is used to obtain a patients consent to our use and disclosure of the patients protected health template instructions
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Frequently asked questions about the form Purpose:In cases where NAME OF DENTIST has directed not to rely on Acknowledgements as a basis to use or disclose health ination, this is used to obtain a patients consent to our use and disclosure of the patients protected health
1. Is it legit to submit documents electronically?
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