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GENERALCleanSlate Centers, The Privacy Office 244 Main Street, PO Box 32 Northampton, MA 01061 Tel: 4135842173, ext. 1403 Fax: 4133204155AUTHORIZATION TO DISCLOSE PROTECTED PATIENT HEALTH INFORMATION This
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Cleanslate centers form privacy is a document that outlines the privacy policies and procedures of Cleanslate centers.
All employees and stakeholders of Cleanslate centers are required to file the form.
The form can be filled out online or on paper, with information regarding personal data protection measures and policies.
The purpose of the form is to ensure compliance with privacy regulations and to protect sensitive information.
Information such as data protection measures, policies for handling personal information, and contact details for the privacy officer must be reported.
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