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Notice of Privacy Practices

 

These notices describe how medical information about you may be used and disclosed, and how you get access to this information. Please review it carefully.

 

 Notices of Privacy Practices (Green Bay Area)

 

  • Privacy Practices Notice (English)

  • Privacy Practices Notice (Spanish)

  • Privacy Practices Notice (Hmong)

 

 

 Notices of Privacy Practices (Sheboygan Area)

 

  • Privacy Practices Notice (English)

 

 

HIPAA Consent Forms

 

  • HIPAA Consent Form - English

  • HIPAA Consent Form - Spanish

  • HIPAA Consent Form - Hmong 

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