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Prosthetic & Orthotic Group, Inc.

2669 Myrtle Avenue Suite 101,
Signal Hill, CA 90755

Email: info@p-o-group.com
Phone: (562) 595-6445
Fax: (562) 424-3122

HIPAA Release Forms

Acknowledgement of Receipt of Notice of Privacy Practices
Patient Consent for Purposes of Treatment, Payment and Healthcare Operations
Notice of Privacy Practices

Patient Forms

Patient Information Form – English Version
Patient Information Form – Spanish Version (Informacion del Paciente)
Medicare Supplier Standards
Patient Survey

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