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Get Eagles Landing Family Practice New Patient Forms

Cted health information about you. You have the right to review our notice before signing this consent. As provided in our notice, the terms of our notice may change. If we change our notice, you may obtain a revised copy by contacting our billing department at 770-914-0116. You have the right to request that we restrict how protected health information about you is used or disclosed for treatment, payment or healthcare operations. We are not required to agree to these restrictions, but if we do.

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