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PATIENT REQUEST FOR CONFIDENTIAL COMMUNICATION FORMS (100/CASE)


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Item Number: W-HIP108
THE PATIENT MAY REQUEST ALTERNATE MEANS OF COMMUNICATION. FOR EXAMPLE, A PATIENT MAY REQUEST THAT THEY NOT BE PHONED AT HOME OR THAT MAIL BE SENT TO AN ALTERNATE ADDRESS. IN CASES SUCH AS THIS, THE PATIENT WILL BE ASKED TO COMPLETE THIS FORM THAT REQUIRES THE PATIENT TO OUTLINE SPECIFIC COMMUNICATION REQUESTS.
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