Get the free Form - Notice of Privacy Practices - Lakeside Dental

NOTICE OF PRIVACY PRACTICES Vincent A. Morales, DDS6911 RR 620 N, Ste. C100 Austin, Texas 78732 P: 5122495555 F: 5122913771 www.LakesideDentalAustin.comTHIS NOTICE DESCRIBES HOW HEALTH INFORMATION

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1. To fill out form - notice of, follow these steps:
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7. Use bullet points or numbering to organize the content of the notice.
8. Use clear and concise language to convey your message.
9. Double-check the form for any spelling or grammatical errors.
10. Sign and date the form at the bottom.
11. Make copies of the completed form for your records before sending it out.

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