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Consent to Use and Disclose Your Health Information This form is an agreement between you, and Lewisville Family Counseling, LLC. When we use the words you and your below, this can mean you, your
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Health information phi, also known as protected health information, is information related to an individual's health status, treatment, or payment for healthcare services.
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Health information phi must include details such as the individual's name, address, medical history, treatment records, and insurance information.
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