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Quality Physical Therapy ACKNOWLEDGMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES Patient Name Date of Birth By signing below I acknowledge that I have received a copy of the Notice of Privacy Practices
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It is a platform for reporting quality and safety incidents in healthcare.
Healthcare providers and facilities are required to file reports on the platform.
Users can fill out the required information by logging into the platform and following the prompts.
The purpose of the platform is to track and address quality and safety incidents in healthcare settings.
Information such as the date, time, location, and description of the incident must be reported.
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