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ACKNOWLEDGEMENT OF PRIVACY Practices signature confirms that I have been informed of my rights to privacy regarding my protected health information, under the Health Insurance Portability & Accountability
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My signature confirms that I have reviewed and agree with the information provided.
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The purpose of my signature confirms that is to indicate that you have authorized or verified the information provided in the document.
The information that must be reported on the signature confirms that typically includes agreement with the content, authorization of the transaction, or verification of accuracy.
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