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HIPAA Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please click below and review it carefully. Once the PDF file opens you may click the icons in the upper right corner of the form to save a copy for your records or print a paper copy.

 Acknowledgement and Receipt of Privacy Practices 

This lactation consultation practice is required by US federal law to maintain our patients’ privacy and provide them with access to the notice of our legal duties and privacy practices with respect to protected health information (PHI). Entering your information below hereby acknowledges that you have reviewed our HIPAA Notice of Privacy Practices document above and understand that you may obtain a copy for your records upon request.


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