Common use of NOTICE OF PRIVACY PRACTICES AND CLIENT RIGHTS Clause in Contracts

NOTICE OF PRIVACY PRACTICES AND CLIENT RIGHTS. I/We have read and received a copy of the, Notice of Privacy Practices and Client Rights document. Signature(s) Date May we contact you at home (circle one) yes no? May we contact you at work yes no? May we contact you by cell phone yes no? Where may we contact you ?

NOTICE OF PRIVACY PRACTICES AND CLIENT RIGHTS. I/We have read and received a copy of the, the Notice of Privacy Practices and Client Rights document. Signature(s) Date May we contact you at home (circle one) yes no? May we contact you at work yes no? May we contact you by cell phone yes no? Where may we contact you ?