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Patient’s Rights and Responsibilities

WEBAdvanced Surgery Center of Orlando, LLC 6900 Turkey Lake Rd Ste 2-5 Orlando, FL 32819 Fax: 407-354-5403

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URL: https://ascoforlando.com/for-patients/patients-rights-and-responsibilities/

Your Rights and Protections Against Surprise Medical Bills

WEBAdvanced Surgery Center of Orlando, LLC 6900 Turkey Lake Rd Ste 2-5 Orlando, FL 32819 Fax: 407-354-5403

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Advanced Surgery Center of Orlando » Sergio Martinez, DO, AOA, …

WEBAdvanced Surgery Center of Orlando, LLC 6900 Turkey Lake Rd Ste 2-5 Orlando, FL 32819 Fax: 407-354-5403

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Advanced Surgery Center of Orlando

WEBAdvanced Surgery Center of Orlando, LLC 6900 Turkey Lake Rd Ste 2-5 Orlando, FL 32819 Fax: 407-354-5403

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Advanced Surgery Center of Orlando » Steve Vuong Nguyen, M.D.

WEBAdvanced Surgery Center of Orlando, LLC 6900 Turkey Lake Rd Ste 2-5 Orlando, FL 32819 Fax: 407-354-5403

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Advanced Surgery Center of Orlando » Before Surgery

WEBAdvanced Surgery Center of Orlando, LLC 6900 Turkey Lake Rd Ste 2-5 Orlando, FL 32819 Fax: 407-354-5403

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Advanced Surgery Center of Orlando » Jerry A. Rubin, M.D.

WEBAdvanced Surgery Center of Orlando, LLC 6900 Turkey Lake Rd Ste 2-5 Orlando, FL 32819 Fax: 407-354-5403

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Advanced Surgery Center of Orlando » Advance Directives

WEBAdvanced Surgery Center of Orlando, LLC 6900 Turkey Lake Rd Ste 2-5 Orlando, FL 32819 Fax: 407-354-5403

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Advanced Surgery Center of Orlando » Good Faith Estimate

WEBAdvanced Surgery Center of Orlando, LLC 6900 Turkey Lake Rd Ste 2-5 Orlando, FL 32819 Fax: 407-354-5403

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Advanced Surgery Center of Orlando, LLC

WEBadvanced surgery center of orlando, llc patient label here assignment of benefits, assignment of rights, & designation of authorized representative

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Advanced Surgery Center of Orlando, LLC

WEBAdvanced Surgery Center of Orlando, LLC NOTICE OF PRIVACY PRACTICE as mandated by the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Effective …

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Advanced Surgery Center of Orlando, LLC

WEBaccordance with my wishes, advance directive or health care power of attorney. My agreement with this policy does not revoke or invalidate any current health care …

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Patient’s Rights and Responsibilities

WEBPatient’s Rights and Responsibilities RIGHTS OF THE PATIENT: Every Patient has the right to courtesy, respect, dignity, privacy, responsiveness, and timely attention to …

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PATIENT FINANCIAL ASSISTANCE, APPLICATION PROCESS, …

WEBTitle: Microsoft Word - PATIENT FINANCIAL ASSISTANCE revised.final.docx Created Date: 6/30/2016 6:13:36 PM

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AUTHORIZATION FOR DISCLOSURE OF PROTECTED HEALTH …

WEBPlease note › Information disclosed based on this authorization may be subject to redisclosure by the recipient and may no longer be protected by federal privacy regulations.

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Advanced Surgery Center of Orlando, LLC

WEBo YES, I brought my Advanced Directive/Living Will/Health Care Proxy with me to place a copy in my chart as part of my medical record o YES, I have an Advanced …

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