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PLEASE REVIEW IT CAREFULLY. If you have any ques tions about this notice, please contact: [list clinic and p&lt;/p&gt; Dawn Hicks Adobe PDF Library 15.0 D:20171017165139 &lt;p&gt;MODEL HIPAA NOTICE OF PRIVACY PRACTICES Effective Date: __________ THIS NOTICE DESCRIBES HOW PROTECTED HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. If you have any ques tions about this notice, please contact: [list clinic and p&lt;/p&gt; 1033 DownloadAsset.aspx?id=6442451406 101 &lt;p&gt;MODEL HIPAA NOTICE OF PRIVACY PRACTICES Effective Date: __________ THIS NOTICE DESCRIBES HOW PROTECTED HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. 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