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Acknowledgment of Our Notice of Privacy Practices for Orthopedic Specialists & Sports Medicine I hereby acknowledge that I have received or have been given the opportunity to receive a copy of Orthopedic
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Acknowledgment of our notice is a formal acknowledgement or confirmation of receipt of a notice.
The recipient or addressee of the notice is required to file acknowledgment of our notice.
Acknowledge by signing and dating the notice, then returning it to the sender.
The purpose of acknowledgment of our notice is to ensure that the notice has been received by the intended recipient.
The acknowledgment should include the date of receipt, recipient's name, and signature.
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