Common Contracts

3 similar null contracts

Revised 01/03/2022
October 11th, 2021
  • Filed
    October 11th, 2021

This form provides you, the client, with information that is additional to that detailed in the Notice of Privacy Practices and it is subject to HIPAA preemptive analysis.

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Claudette Waite, LPC
June 14th, 2019
  • Filed
    June 14th, 2019

This form provides you, the client, with information that is additional to that detailed in the Notice of Privacy Practices and it is subject to HIPAA preemptive analysis.

Claudette Waite, LPC
June 14th, 2019
  • Filed
    June 14th, 2019

This form provides you, the client, with information that is additional to that detailed in the Notice of Privacy Practices and it is subject to HIPAA preemptive analysis.

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