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PATIENT CONSENT FORM: FOR COLLECTION, USE AND DISCLOSURE OF
PERSONAL INFORMATION
Privacy of your personal information is an important part of our office providing you with quality dental
care. We
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Consent - office of refers to an official agreement or approval required by a governing body or office for certain actions or processes.
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Reported information typically includes the names of parties involved, the nature of the consent being sought, relevant dates, and any required documentation.
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