Get the free PR-1.C.Acknowledgement of Receipt of Notice of Privacy Practices
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BakerChiropracticandAcupuncture
AcknowledgementReceiptofNoticeofPrivacyPractices
WearerequiredbylawtoprovideyouwithacopyofourNoticeofPrivacyPractices, whichexplainsyour
rightsandourlegaldutiesconcerningyourprotectedhealthinformationandhowwemayuseand
discloseyourprotectedhealthinformation.
1.
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The pr-1cacknowledgement of receipt of typically requires the recipient to report their name, date, signature, and any other relevant information specified on the form.
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