Common Contracts

1 similar Popi Act Agreement and Consent Declaration contracts

POPI ACT AGREEMENT AND CONSENT DECLARATION
Popi Act Agreement and Consent Declaration • December 16th, 2024

You hereby declare and confirm that you, as the patient, who is providing information, do irrevocably agree and understand that any and/or all information supplied or given to Melanie Peyper Optometrists, is done so in accordance with the below mentioned terms and conditions and in accordance with this policy.

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