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Georgetown Center for Adult Medicine - HIPAA Acknowledgement Disclosure Consent Form. Georgetown Center for Adult Medicine - HIPAA Acknowledgement Disclosure Consent Form
G eorgetown c enter for a dult m edicine p atient hipaa a cknowledgment and c onsent f orm patient name: date of birth: (patient initials) notice of privacy practices. i acknowledge that i have received the practices notice of privacy practices,...
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