Verification of Receipt | Carolynn Brusseau


 

Carolynn Brusseau, MA, LPC
Access Counseling Services, Inc.
175 Olde Half Day Road, Suite 140-9, Lincolnshire IL 60069
19 N. County Street, Waukegan IL 60085
carolynn@jdanielsphd.com | 312-600-5367
jdanielsphd.com

Verification of Receipt

 

NOTICE OF PRIVACY PRACTICES AND CLIENT RIGHTS (HIPAA)

 

I have read and received a copy of the, Notice of Privacy Practices and Client Rights document.  I have also been given the opportunity to ask any questions as to its contents. 

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Document name: Verification of Receipt | Carolynn Brusseau
lock iconUnique Document ID: 161868ef2cced28750f06ff5bd01aa980f694383
Timestamp Audit
May 9, 2023 11:59 pm CSTVerification of Receipt | Carolynn Brusseau Uploaded by Jennifer Daniels - jennifer@jdanielsphd.com IP 185.187.168.191