Knoxvillefamilypsychiatry.com

KNOXVILLE FAMILY PSYCHIATRY

WEBname: _____ dob: _____ knoxville family psychiatry informed consent for telemedicine (telehealth) sessions

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URL: https://knoxvillefamilypsychiatry.com/wp-content/uploads/2021/11/Telemedicine-Consent-Form.pdf

NOTICE OF PRIVACY PRACTICES

WEBNOTICE OF PRIVACY PRACTICES Page 2 of 4 Effective Date of this Notice: 05/2021 4. Appointment Reminders. We may use and disclose your PHI to contact you and remind …

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NOTICE OF PRIVACY PRACTICES

WEBNOTICE OF PRIVACY PRACTICES Page 3 of 4 Effective Date of this Notice: 05/2021 3. Lawsuits and Similar Proceedings. We may use and disclose your PHI in response to a …

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