Notice of Privacy Practices

Aviso de prácticas de privacidad

개인 정보 보호 관행 안내서

Consent for Treatment

Englewood Hospital

Consent for treatment, assignment of insurance benefits, release of information, and financial agreement

Consentimiento para tratamiento, asignación para beneficios del seguro, liberación de información y acuerdo financiero

치료 동의서, 보험 급부 양도, 정보 공개 및 재정 동의

Englewood Health Physician Network

Consent for treatment, assignment of insurance benefits, release of information, and financial agreement

Consentimiento para tratamiento, asignación para beneficios del seguro, liberación de información y acuerdo financiero

치료 동의서, 보험 급부 양도, 정보 공개 및 재정 동의

Important Notice

Important notice

Aviso importante

필독 통지서

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Additional Resources

Care Everywhere Consent / Opt Out Form

Care Everywhere Consent / Opt Out Form (Español)