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HIPAA Notice of Privacy Practices Acknowledgement of Receipt Robert A. Kolarczyk, M.D. 1801 State Street, Suite C Santa Barbara, CA 931012482Karen D. Kolarczyk, Privacy Officer: (805) 5691000 I hereby
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Patient forms - Robert refer to the documents that patients must fill out to provide necessary information regarding their health history, insurance details, and personal information before receiving medical treatment.
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