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Northern Utah Cardiovascular Associates Patient HIPAA Form Patient Name: Date of Birth: Today s Date: Notice of Privacy Practices Acknowledgement (Patient initials) I acknowledge that I have received
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Northern Utah Cardiovascular Associates is a medical practice specializing in cardiovascular care.
The healthcare providers and administrators at Northern Utah Cardiovascular Associates are required to file.
Northern Utah Cardiovascular Associates can be filled out online or through paper forms provided by the practice.
The purpose of Northern Utah Cardiovascular Associates is to track and report the cardiovascular health of patients.
Information such as patient demographics, medical history, test results, and treatment plans must be reported on Northern Utah Cardiovascular Associates.
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