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NOTICE OF PRIVACY PRACTICES Effective: April 14, 2003, Revision Date: August 1, 2013, June 6, 2019THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET
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Proposed modifications to form refer to the adjustments or changes suggested to an existing form that may affect its structure, content, or submission requirements.
Individuals or entities that utilize the form in question, or those who are affected by its content, are typically required to file proposed modifications.
To fill out the proposed modifications to form, first obtain the latest version of the form. Clearly outline the modifications being proposed, provide justifications for each change, and ensure all required fields are completed accurately.
The purpose of proposed modifications to form is to improve clarity, ensure compliance with current regulations, adapt to new information, or enhance functionality.
The information that must be reported includes the specific changes being proposed, the reasons for the changes, and any relevant supporting documentation.
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