esentatives of ColumbiaDoctors to release pertinent medical Information to my insurance company when requested or to facilitate payment of a claim. Notice of Privacy Practices: Acknowledgement of Receipt I acknowledge that I was provided with a copy of the ColumbiaDoctors Notice of Privacy Practices (NOPP). o Received K

sentatives of Columbia Doctors to release pertinent medical information to my insurance company when requested or to facilitate payment of a claim. Notice of Privacy Practices: Acknowledgement of Receipt I acknowledge that I was provided with a copy of the Columbia Doctors Notice of Privacy Practices (NOPP). Received o N