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H. Lance Donald, DDS Daniel J. Chassis, DDS 106 Professional Dr. West Monroe, La. 71291 (318)3240080 PATIENT CONSENT FORM I understand that under the Health Insurance Portability & Accountability
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H Lance Donald DDS is likely a reference to a dental professional or dental practice owned by Dr. H. Lance Donald, DDS, which specializes in providing dental care.
Individuals or entities that engage in certain dental practices or activities as mandated by dental regulations may be required to file documentation related to H Lance Donald DDS.
Filling out H Lance Donald DDS would typically involve providing personal information, dental practice details, and any relevant disclosures or compliance information as required by the governing dental board or organization.
The purpose of H Lance Donald DDS is to provide dental care and treatment to patients, ensuring oral health and promoting preventive measures within the community.
The information that must be reported may include the dentist's qualifications, license number, patient treatment records, and compliance with health regulations.
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