Farallon Eye Physicians (Susan Longar) - Acknowledgement of Receipt of Notice of Privacy Policy

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As part of the HIPAA privacy act, we ask that if you have any family members that you wish to speak with the doctors regarding your eye care, please list them below:*

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The Open Payments database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. It can be found at openpaymentsdata.cms.gov.
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Acknowledgement of Receipt of Notice of Privacy Policy