bhs out patient-20170407131546...c] no, facility directory opt-out: i object to having information...

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Page 1: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 2: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 3: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 4: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 5: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 6: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 7: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 8: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 9: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 10: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 11: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 12: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 13: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 14: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 15: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 16: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 17: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 18: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 19: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 20: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient
Page 21: BHS Out Patient-20170407131546...C] NO, Facility Directory OPT-OUT: I object to having information related to me included in the Facility Directory while I am receiving outpatient