Acknowledgement of Privacy Practices

Acknowledgement of Receipt of Notice of Privacy Practices
https://fairmountdental.me/wp-content/uploads/2020/12/Notice-of-Privacy-Practices.pdf * You may refuse to sign this acknowledgement. *
I have received a copy of this office's Notice of Privacy Practices.*
You can access the privacy policy online using the link above.
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Acknowledgement of Receipt of Notice of Privacy Practices