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Medical Record Number: NOTICE OF PRIVACY PRACTICES ACKNOWLEDGMENT FORM I hereby acknowledge that on I received the Notice of Privacy Practices of Alliance Citizens Health Association, which sets forth.

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Identification and Characteristics Name and Address:Alliance Community Hospital 200 East State Street Alliance, OH 44601Telephone Number:(330) 596-6000Hospital Website:aultmanalliance.org/CMS Certification Number :360131Type of Facility:Short Term Acute Care9 more rows

Mission: Leading our community to improved health. Vision: Aultman Health Foundation will be the leading health system in designing products and services for the communities we serve. Delivering the highest quality.

About. Alliance Community Hospital, a non-profit hospital founded in 1901, is licensed for 204 beds including 78 nursing home/transitional care beds that are found in our attached, long-term care facility, Community Care Center.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232