irp-cdn.multiscreensite.com · J H JOURNEY MENTAL HEALTH 4405 E. Flamingo Ave. — Nampa, ID 83642...

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Transcript of irp-cdn.multiscreensite.com · J H JOURNEY MENTAL HEALTH 4405 E. Flamingo Ave. — Nampa, ID 83642...

Page 1: irp-cdn.multiscreensite.com · J H JOURNEY MENTAL HEALTH 4405 E. Flamingo Ave. — Nampa, ID 83642 — (208) 899-4042 — Fax (208) 899-4043 — jmhnampa@gmail.com HIPAA CONSENT FORM
Page 2: irp-cdn.multiscreensite.com · J H JOURNEY MENTAL HEALTH 4405 E. Flamingo Ave. — Nampa, ID 83642 — (208) 899-4042 — Fax (208) 899-4043 — jmhnampa@gmail.com HIPAA CONSENT FORM
Page 3: irp-cdn.multiscreensite.com · J H JOURNEY MENTAL HEALTH 4405 E. Flamingo Ave. — Nampa, ID 83642 — (208) 899-4042 — Fax (208) 899-4043 — jmhnampa@gmail.com HIPAA CONSENT FORM
Page 4: irp-cdn.multiscreensite.com · J H JOURNEY MENTAL HEALTH 4405 E. Flamingo Ave. — Nampa, ID 83642 — (208) 899-4042 — Fax (208) 899-4043 — jmhnampa@gmail.com HIPAA CONSENT FORM
Page 5: irp-cdn.multiscreensite.com · J H JOURNEY MENTAL HEALTH 4405 E. Flamingo Ave. — Nampa, ID 83642 — (208) 899-4042 — Fax (208) 899-4043 — jmhnampa@gmail.com HIPAA CONSENT FORM
Page 6: irp-cdn.multiscreensite.com · J H JOURNEY MENTAL HEALTH 4405 E. Flamingo Ave. — Nampa, ID 83642 — (208) 899-4042 — Fax (208) 899-4043 — jmhnampa@gmail.com HIPAA CONSENT FORM
Page 7: irp-cdn.multiscreensite.com · J H JOURNEY MENTAL HEALTH 4405 E. Flamingo Ave. — Nampa, ID 83642 — (208) 899-4042 — Fax (208) 899-4043 — jmhnampa@gmail.com HIPAA CONSENT FORM
Page 8: irp-cdn.multiscreensite.com · J H JOURNEY MENTAL HEALTH 4405 E. Flamingo Ave. — Nampa, ID 83642 — (208) 899-4042 — Fax (208) 899-4043 — jmhnampa@gmail.com HIPAA CONSENT FORM
Page 9: irp-cdn.multiscreensite.com · J H JOURNEY MENTAL HEALTH 4405 E. Flamingo Ave. — Nampa, ID 83642 — (208) 899-4042 — Fax (208) 899-4043 — jmhnampa@gmail.com HIPAA CONSENT FORM
Page 10: irp-cdn.multiscreensite.com · J H JOURNEY MENTAL HEALTH 4405 E. Flamingo Ave. — Nampa, ID 83642 — (208) 899-4042 — Fax (208) 899-4043 — jmhnampa@gmail.com HIPAA CONSENT FORM
Page 11: irp-cdn.multiscreensite.com · J H JOURNEY MENTAL HEALTH 4405 E. Flamingo Ave. — Nampa, ID 83642 — (208) 899-4042 — Fax (208) 899-4043 — jmhnampa@gmail.com HIPAA CONSENT FORM
Page 12: irp-cdn.multiscreensite.com · J H JOURNEY MENTAL HEALTH 4405 E. Flamingo Ave. — Nampa, ID 83642 — (208) 899-4042 — Fax (208) 899-4043 — jmhnampa@gmail.com HIPAA CONSENT FORM
Page 13: irp-cdn.multiscreensite.com · J H JOURNEY MENTAL HEALTH 4405 E. Flamingo Ave. — Nampa, ID 83642 — (208) 899-4042 — Fax (208) 899-4043 — jmhnampa@gmail.com HIPAA CONSENT FORM