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Spanish translation of Pacific University vision clinic intake forms and HIPAA policies

1 May 2006


Virginia Garcia Eye Clinic serves a predominantly Spanish speaking population. However, no intake forms or HIP AA information is available in Spanish. This thesis contains the Spanish translations of the following forms: Receipt of Notice of Privacy Policies & Consent Form, Acknowledgment of Receipt of Notice of Privacy Practices, Authorization Form, HIPAA Brochure, Notice of Privacy Practices, Oregon Health Plan Responsibility Waiver, and Social Services Contact Record. These translated forms will allow the Spanish speaking patients to understand their rights and more fully participate in their eye care experience.


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