HIPAA NOTICE OF PRIVACY PRACTICES
Please read this information carefully, and ask Dr. Hannah, Dr. Ellis or the front desk if there is anything that you do not understand. This is your copy of Touch of Wellness’ HIPAA notice, which you have read, and fully understand how your Patient Health Information will be used. By signing below, you agree to these policies and procedures in its entirety.
By signing below, I (parent or legal guardian if patient is a minor) certify that I have read, understood, & accepted ALL of the above policies and procedures in its entirety.
Should be Empty: