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Complete Form List

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Consent for Perio Prophylaxis
$15.00
Consent for Photography
$15.00
HIPAA Patient Acknowledgement of Receipt of Privacy Practices
$15.00
HIPAA Business Associate Agreement
$15.00
HIPAA Complaint Form
$15.00
HIPAA Consent to use and disclose protected health information
$15.00
HIPAA Employee Notice of Privacy Policies & Procedures
$15.00
HIPAA Privacy Practices Notice to Patients
$15.00
New Patient Telephone Intake Form
$15.00
New Patient Registration & Chart Initiation Form
$15.00
In Office Team Session
$995.00