Notification of Privacy Practices. I acknowledge that I have been able to review the Notice of Privacy Practices as posted in the practice office. A printed copy was given to me if I so requested. To the extent permitted by law, I consent to the use and disclosure of my information for the purposes described in West ▇▇▇▇▇ Dental’s Notice of Privacy Practices.
Appears in 1 contract
Sources: Dental Consent Agreement
Notification of Privacy Practices. I acknowledge that I have been able to review the Notice of Privacy Practices as posted in the practice office. A printed copy was given to me if I so requested. To the extent permitted by law, I consent to the use and disclosure of my information for the purposes described in West ▇▇▇▇▇ Dental’s Notice of Privacy Practices.
Appears in 1 contract
Sources: Dental Consent Agreement