This below form, Notice of Privacy Practices, presents the information that Federal Law, by the Health Insurance and Portability and Accountability Act (HIPAA), requires us to give our patients regarding our privacy practices.
After reading the Notice of Privacy, please sign and fax or email the acknowledgement to us.
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Periodontal Associates of Memphis | 6268 Poplar Avenue | Memphis, TN 38119 | ph 901-761-3770 or (800) 824-1628 | fx 901-761-3775
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