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...ACKNOWLEDGEMENT OF NOTICE OF PRIVACY PRACTICES (To be retained by Medical Provider) I understand...

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Page 1: ...ACKNOWLEDGEMENT OF NOTICE OF PRIVACY PRACTICES (To be retained by Medical Provider) I understand that Sanders Hand Therapy (referred to below as "the clinic") will use and disclose

Page 2: ...ACKNOWLEDGEMENT OF NOTICE OF PRIVACY PRACTICES (To be retained by Medical Provider) I understand that Sanders Hand Therapy (referred to below as "the clinic") will use and disclose

Page 3: ...ACKNOWLEDGEMENT OF NOTICE OF PRIVACY PRACTICES (To be retained by Medical Provider) I understand that Sanders Hand Therapy (referred to below as "the clinic") will use and disclose

Page 4: ...ACKNOWLEDGEMENT OF NOTICE OF PRIVACY PRACTICES (To be retained by Medical Provider) I understand that Sanders Hand Therapy (referred to below as "the clinic") will use and disclose

Page 5: ...ACKNOWLEDGEMENT OF NOTICE OF PRIVACY PRACTICES (To be retained by Medical Provider) I understand that Sanders Hand Therapy (referred to below as "the clinic") will use and disclose

Page 6: ...ACKNOWLEDGEMENT OF NOTICE OF PRIVACY PRACTICES (To be retained by Medical Provider) I understand that Sanders Hand Therapy (referred to below as "the clinic") will use and disclose

Page 7: ...ACKNOWLEDGEMENT OF NOTICE OF PRIVACY PRACTICES (To be retained by Medical Provider) I understand that Sanders Hand Therapy (referred to below as "the clinic") will use and disclose

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