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13Questions

HIPAA

Compliance

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    • Afghanistan
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    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
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    • Zambia
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    If you have a referral, please list the physician's name here. You do not need a referral.
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    Briefly explain your medical history
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    The Hypermobility and Ehlers-Danlos Clinic is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you agree. You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy. By clicking submit below, you consent to allow the Hypermobility and Ehlers-Danlos Clinic to store and process the personal information submitted above to provide you with the content requested.
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