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INSURANCE INFORMATION

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ACKNOWLEDGMENT OF NOTICE OF PRIVACY PRACTICES (HIPAA)

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I acknowledge that I was provided a copy of the Notice of Privacy and that I have read and understood the notice. Document listed below.

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DON'T SEE YOUR HEALTH INSURANCE PROVIDER LISTED ABOVE? CONTACT US TO FIND OUT IF WE CAN WORK WITH YOUR PLAN.

250 NORTH MAIN STREET, STE 102
 

EAST LONGMEADOW, MASS. 01028

OFFICE: 413.525.5200

FAX: 413.525.5700

LEARN A BIT MORE ABOUT OUR PRACTICE HERE.

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