Office Documents and Information

Section Title

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HIPAA Agreement

HIPAA Notice of privacy practices. This notice describes how medical information about you may be used and disclosed and how you can get access to this information under the HIPAA Omnibus Rule of 2013

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Spanish Version
HIPAA Acknowledgment

This form is an acknowledgment the you have had the opportunity to review the HIPAA Notice of Privacy Practices of our office under the HIPAA Omnibus Rule of 2013

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Spanish Version
Financial Agreement

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New Patient Info

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Medical History

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Privacy Release

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Endo/RCT Consent

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Surgical Consent

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