PATIENT ACKNOWLEDGEMENT AND CONSENT TO ONLINE INTERACTION POLICIES I wish to use Internet-based communications, registration and other Internet-based modes of interaction to facilitate my receipt of health care from this practice. Benefits and Risks:
Confidentiality and Security of Information:
7270 Kyle Court Sarasota, FL 34240-8435 Phone: (941) 907-8175 Fax: (941) 757-3998
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