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:
135 Midway Drive Suite B Du Bois, PA 15801-3857 Phone: (814) 371-2348 Fax: (814) 372-6089
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