HIPAA Privacy Forms

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The HIPAA (Health Insurance Portability and Accountability Act) form is an essential component of patient privacy and confidentiality in the healthcare industry. This form outlines your rights and explains how your personal health information may be used and disclosed by healthcare providers. By signing the HIPAA form, you acknowledge that you have received this information and understand your privacy rights.

The form ensures that your confidential medical information remains protected and allows you to give or restrict consent for certain uses of your data. We prioritize patient privacy and compliance with HIPAA regulations to maintain the utmost confidentiality and trust.

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Boiling Springs Family Dental
210 Forge Road
Boiling Springs, PA  17007

Phone: 717-258-3858
Fax: 717-258-8458

Email: Office@BoilingSpringsDental.com

Office Hours

Monday        –     8am – 5pm
Tuesday        –     8am – 5pm
Wednesday  –     8am – 5pm
Thursday      –     8am – 5pm
Friday            –    8am – 1pm