New Patient Information And Privacy Consent Form
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NEW PATIENT INFORMATION AND PRIVACY CONSENT FORM
This form collects personal information and consent for privacy policies.
New Patient Information
Please provide the following information:
Description:Fill out our new patient information and privacy consent form to provide us with your personal and medical information. By signing the privacy consent form, you agree to our privacy policy and allow us to use your information for treatment purposes only.
Welcome to our practice! We require all new patients to fill out our new patient information and privacy consent form. This form provides us with your personal and medical information, which we use to provide you with the best possible care. We take your privacy seriously and adhere to strict confidentiality policies. By signing the privacy consent form, you agree to our privacy policy and allow us to use your information for treatment purposes only. Your information will never be shared with third parties without your consent. Thank you for choosing our practice for your healthcare needs.
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