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rmation to Individualffamily Members In accordance with Federal government privacy rules implemented through the Healthcare Portability Act of 1996 (HIPAA), in order for your physician or staff of the Practice to discuss your condition with members of your family or other individuals that you designate
73 (212 )3119-92D0 NIPAA PRIVACY NOTICE • I acknowledge that I hove been given a copy of the Practice's *HIPAA Privacy Notice" which describes the Practice's obligations to ensure the privacy of my health information. The HIPAA Privacy Notice also describes how the Practice may use and disclose my heal
ation to Individualfamily Members in accordance with federal government privacy rules anptitmer tad through the Healthcare Portability Act of 1906 (HIPAA). in order for your physician or staff of the Practice to discuss your condition with members of your family or other individuals that you des-gnatb
Nen York, NV 10073 HIPAA PRIVACY NOTICE • I acknowledge that I have been given a copy of the Practices - HIPAA Privacy Notice" which describes the Practice's obbgations to ensure the privacy of ay health information. The HIPAA Privacy Notice also describes how the Practice may use and disclose my healt
ion to Individualtram_gv Members In accordance with Federal government privacy rules I mpierrien led through the Healthcare Portability Act of 1996 (HIPAA), in order fee your physician or staff of the Practice to discuss your condition with members of your I amuy or other individuals that you despnate,
acy Notice which describes the Practices Obligations to ensure the privacy of my Stith Inlorrnatban. The HIPAA Privacy Notice also describe* how the Practice may use and disclose my health information for treebnent PaYannt and health care operations. I knew that I have the right to renew the Practices/UR
Entities connected to both HIPAA and Practice

Jeffrey Epstein
PERSON
Ghislaine Maxwell
PERSON
George W. Bush
PERSON
Alan Dershowitz
PERSON
Kenneth Marra
PERSONJane Doe
PERSON
United States
LOCATION
Prince Andrew
PERSON
Woody Allen
PERSON
Lesley Groff
PERSON
Alfredo Rodriguez
PERSONLeon Black
PERSON
Scarlett Johansson
PERSON
Department of Justice
ORGANIZATION
Medicaid
ORGANIZATION
Bradley Edwards
PERSON
Prince Charles
PERSON
Donald Trump
PERSON
Michael Jackson
PERSON
Stephen Hawking
PERSON