Acknowledgment of Notice of Privacy Practices

You have been directed to this page because you are a patient or the Power of Attorney for a patient at Hearing Doctors.

The Health Insurance Portability and Accountability Act (HIPAA) requires us to provide you with our Notice of Privacy Practices, and to obtain your signature to acknowledge that you have received it.

  1. Please Read Our Notice of Privacy Practices
    If you have any questions about the Privacy Practices, please contact Kara Knight-Inman, Hearing Doctors’s HIPAA Privacy Officer, at (703) 866-8819 or privacy@HearingDoctors.com.

  2. Click the button below to provide your digital signature (takes approx 1 minute; no special software required). Please do it now.


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