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ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES You may refuse to sign this acknowledgementI, ___, have received a copy of this offices Notice of Privacy Practices. Furthermore, I give permission

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Individuals who have received a package, letter, or any other form of delivery might need to fill out an 'I have received a' form. This form is often used to acknowledge receipt of a package or item, and may be required by a sender or delivery company for record-keeping purposes.

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