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Before you can proceed with the below form submission, we must ask that you review and accept St. Vincent's Health System Joint Notice of Health Information Privacy Practices. This policy describes the way that St. Vincent's Health System and any physician or other healthcare provider with medical staff privileges at St. Vincent's Health System will treat your health information about you created while you are a patient at St. Vincent's Health System.
To open a printable PDF (portable document format) version of the Joint Notice of Health Information Privacy Practices document, click here.
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Click here to download a free copy of this program.