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Little Falls Hospital Forms

Little Falls Hospital Consent and Release Forms

Little Falls Acknowledgment and Consent Form

Little Falls Notice of Privacy Practices

View Consent Form & Practices in one download

Patient Autorization for Release of Health Information

Consent by Proxy for Nonurgent Pediatric Care

Treat Minors Consent Form

 

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Additional Information

Information regarding HIPAA Government Sites & Private Organization links have been derived from The U.S. Department of Health and Human Services. Please click on a link to view details.

HIPAA Procedure Codes and Background Information
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© 2007 Little Falls Hospital. All rights reserved.
140 Burwell Street
Little Falls, NY 13365
For referrals & information, call (315) 823-1000