WRITTEN ACKNOWLEDGEMENT FORM RECEIPT OF NOTICE …
EXHIBIT 1 . Revised August 1, 2017 . W. RITTEN . A. CKNOWLEDGEMENT . F. ORM. R. ECEIPT OF . N. OTICE OF . P. RIVACY . P. RACTICES. ADCS CLINICS, LLC . I, _____, have ... ................
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