div class=ts-pagebutton class=gotoPage data-page=1Page 1button div class=ts-imagea href=https:reader042vdocumentsnetreader042viewer20220412175e0679da311b333ca46adb7chtml5page1jpg target=_blank img data-url=acknowledgement-of-receipt-of-hipaa-notice-of-privacy-practices-the-loose-toothhtmlpage=1 data-page=1 class=ts-thumb lazyload alt=Page 1: · ACKNOWLEDGEMENT OF RECEIPT OF HIPAA NOTICE OF PRIVACY PRACTICES The Loose Tooth Pediatric Dentistry 15041 S Van Dyke Rd #105 Plainfield IL 6054415041 S Van Dyke Rd Ste 105 loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader042vdocumentsnetreader042viewer20220412175e0679da311b333ca46adb7chtml5thumbnails1jpg width=140 height=200 adivdivdiv class=ts-pagebutton class=gotoPage data-page=2Page 2button div class=ts-imagea href=https:reader042vdocumentsnetreader042viewer20220412175e0679da311b333ca46adb7chtml5page2jpg target=_blank img data-url=acknowledgement-of-receipt-of-hipaa-notice-of-privacy-practices-the-loose-toothhtmlpage=2 data-page=2 class=ts-thumb lazyload alt=Page 2: · ACKNOWLEDGEMENT OF RECEIPT OF HIPAA NOTICE OF PRIVACY PRACTICES The Loose Tooth Pediatric Dentistry 15041 S Van Dyke Rd #105 Plainfield IL 6054415041 S Van Dyke Rd Ste 105 loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader042vdocumentsnetreader042viewer20220412175e0679da311b333ca46adb7chtml5thumbnails2jpg width=140 height=200 adivdivdiv class=ts-pagebutton class=gotoPage data-page=3Page 3button div class=ts-imagea href=https:reader042vdocumentsnetreader042viewer20220412175e0679da311b333ca46adb7chtml5page3jpg target=_blank img data-url=acknowledgement-of-receipt-of-hipaa-notice-of-privacy-practices-the-loose-toothhtmlpage=3 data-page=3 class=ts-thumb lazyload alt=Page 3: · ACKNOWLEDGEMENT OF RECEIPT OF HIPAA NOTICE OF PRIVACY PRACTICES The Loose Tooth Pediatric Dentistry 15041 S Van Dyke Rd #105 Plainfield IL 6054415041 S Van Dyke Rd Ste 105 loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader042vdocumentsnetreader042viewer20220412175e0679da311b333ca46adb7chtml5thumbnails3jpg width=140 height=200 adivdivdiv class=ts-pagebutton class=gotoPage data-page=4Page 4button div class=ts-imagea href=https:reader042vdocumentsnetreader042viewer20220412175e0679da311b333ca46adb7chtml5page4jpg target=_blank img data-url=acknowledgement-of-receipt-of-hipaa-notice-of-privacy-practices-the-loose-toothhtmlpage=4 data-page=4 class=ts-thumb lazyload alt=Page 4: · ACKNOWLEDGEMENT OF RECEIPT OF HIPAA NOTICE OF PRIVACY PRACTICES The Loose Tooth Pediatric Dentistry 15041 S Van Dyke Rd #105 Plainfield IL 6054415041 S Van Dyke Rd Ste 105 loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader042vdocumentsnetreader042viewer20220412175e0679da311b333ca46adb7chtml5thumbnails4jpg width=140 height=200 adivdivdiv class=ts-pagebutton class=gotoPage data-page=5Page 5button div class=ts-imagea href=https:reader042vdocumentsnetreader042viewer20220412175e0679da311b333ca46adb7chtml5page5jpg target=_blank img data-url=acknowledgement-of-receipt-of-hipaa-notice-of-privacy-practices-the-loose-toothhtmlpage=5 data-page=5 class=ts-thumb lazyload alt=Page 5: · ACKNOWLEDGEMENT OF RECEIPT OF HIPAA NOTICE OF PRIVACY PRACTICES The Loose Tooth Pediatric Dentistry 15041 S Van Dyke Rd #105 Plainfield IL 6054415041 S Van Dyke Rd Ste 105 loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader042vdocumentsnetreader042viewer20220412175e0679da311b333ca46adb7chtml5thumbnails5jpg width=140 height=200 adivdivdiv class=ts-pagebutton class=gotoPage data-page=6Page 6button div class=ts-imagea href=https:reader042vdocumentsnetreader042viewer20220412175e0679da311b333ca46adb7chtml5page6jpg target=_blank img data-url=acknowledgement-of-receipt-of-hipaa-notice-of-privacy-practices-the-loose-toothhtmlpage=6 data-page=6 class=ts-thumb lazyload alt=Page 6: · ACKNOWLEDGEMENT OF RECEIPT OF HIPAA NOTICE OF PRIVACY PRACTICES The Loose Tooth Pediatric Dentistry 15041 S Van Dyke Rd #105 Plainfield IL 6054415041 S Van Dyke Rd Ste 105 loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader042vdocumentsnetreader042viewer20220412175e0679da311b333ca46adb7chtml5thumbnails6jpg width=140 height=200 adivdiv