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Page 1: WESTPOINT 287-20190722150802westpointptc.com/wp-content/uploads/2019/07/Forms-in-English.pdf · notice of privacy practices (effective april 14, 2003) this notice describes how medical

Page 2: WESTPOINT 287-20190722150802westpointptc.com/wp-content/uploads/2019/07/Forms-in-English.pdf · notice of privacy practices (effective april 14, 2003) this notice describes how medical

Page 3: WESTPOINT 287-20190722150802westpointptc.com/wp-content/uploads/2019/07/Forms-in-English.pdf · notice of privacy practices (effective april 14, 2003) this notice describes how medical

Page 4: WESTPOINT 287-20190722150802westpointptc.com/wp-content/uploads/2019/07/Forms-in-English.pdf · notice of privacy practices (effective april 14, 2003) this notice describes how medical

Page 5: WESTPOINT 287-20190722150802westpointptc.com/wp-content/uploads/2019/07/Forms-in-English.pdf · notice of privacy practices (effective april 14, 2003) this notice describes how medical

Page 6: WESTPOINT 287-20190722150802westpointptc.com/wp-content/uploads/2019/07/Forms-in-English.pdf · notice of privacy practices (effective april 14, 2003) this notice describes how medical

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