(305) 773-7009
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HIPPA Acknowledgement Form

Before acknowledging and signing below, please download and read our HIPPA Notice of Privacy Practices. Patients may opt to download, print, and sign the HIPPA Notice of Privacy Practices and submit it prior to their initial appointment.

I hereby acknowledge that I have downloaded and read this Notice of Privacy Practices.(Required)
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(305) 773-7009
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