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CAROLINA ONCOLOGY INSTITUTE, LLC Acknowledgement of Receptor Notice of Privacy PracticesPatient Name: Patient Address: I have received a copy of the Notice of Privacy Practices for the above named
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acknowledgereceiptofnpprev1210-1doc is a document used to acknowledge receipt of a notice of privacy practices (NPP) version 1210-1.
Individuals or entities who receive the notice of privacy practices (NPP) version 1210-1 are required to file acknowledgereceiptofnpprev1210-1doc.
To fill out acknowledgereceiptofnpprev1210-1doc, one must include their name, date of receipt of the NPP, signature, and date of acknowledgment.
The purpose of acknowledgereceiptofnpprev1210-1doc is to confirm that the recipient has received and reviewed the notice of privacy practices (NPP) version 1210-1.
The information reported on acknowledgereceiptofnpprev1210-1doc typically includes the recipient's name, date of receipt of the NPP, and acknowledgment of understanding of the content.
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