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  • New Client Questionnaire

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  • Notice Of Privacy Policies

    Receipt and Acknowledgement of Notice (Signature for HIPAA Notice)
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  • I hereby acknowledge that I have received and have been given an opportunity to read a copy of Love Makes a Family LLC Notice of Privacy Practices. I understand that if I have any questions regarding the Notice or my privacy rights, I can contact Audrey Oxenhorn MSW,LCSW @ (941) 404-5622

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