PATIENT ACKNOWLEDGEMENT AND CONSENT TO ONLINE INTERACTION POLICIES I wish to use Internet-based communications, registration and other Internet-based modes of interaction to facilitate my receipt of health care from this practice. Benefits and Risks:
Confidentiality and Security of Information:
1333 Pine St Melbourne, FL 32901-3116 Phone: (321) 984-9400 Fax: (321) 984-0150
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