HIPAA Compliance Form

Please fill out form RIGHT HERE and sign with your finger or a stylus.

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TESTING FORM INSTRUCTIONS:

PLEASE CLICK THE APPROPRIATE FORM LINK THEN PRINT THE SCREEN.

PLEASE BRING FILLED OUT FORM TO YOUR APPOINTMENT

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P: (435) 644-2693

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FORMS

HIPAA Compliance Form

Please fill out form RIGHT HERE and sign with your finger or a stylus.

TESTING FORM INSTRUCTIONS:

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