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ACKNOWLEDGMENT OF OUR NOTICE OF PRIVACY PRACTICES
I hereby acknowledge that I have received or have been given the opportunity to receive a copy of
Arohi Counseling, LLC Notice of Privacy Practices.
By signing this form, I understand the following:
I understand that the laws that protect privacy and the confidentiality of medical information also apply to
telemedicine/telehealth services, and that no information obtained in the use of telemedicine/telehealth services
which identifies me will disclosed to other entities without my consent.
By signing this form, I understand the following:
I understand that the laws that protect privacy and the confidentiality of medical information also apply to
telemedicine/telehealth services, and that no information obtained in the use of telemedicine/telehealth services
which identifies me will disclosed to other entities without my consent.
By signing this form, I understand the following:
I understand that the laws that protect privacy and the confidentiality of medical information also apply to
telemedicine/telehealth services, and that no information obtained in the use of telemedicine/telehealth services
which identifies me will disclosed to other entities without my consent.
By signing this form, I understand the following:
I understand that the laws that protect privacy and the confidentiality of medical information also apply to
telemedicine/telehealth services, and that no information obtained in the use of telemedicine/telehealth services
which identifies me will disclosed to other entities without my consent.
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Dr. Bajeerao’s books
LIFELONG SOBRIETY - HOW TO STOP DRINKING AND/OR USING DRUGS
“This is such a good book! For addicts and for those who love them. It is an in your face, this is the way it is, and this is what you need to do! A refreshing and targeted look at how to manage addiction. I strongly recommend this book!”
– Fran T.
tHE aNGER MANAGEMENT WORKBOOK
Start your counseling journey through clear steps designed for comfort, clarity, and effectiveness.
INSANITY BEYOND UNDERSTANDING
”The book is a must read for anyone that needs a better understanding of addiction and it will give them insight to help others. I highly recommend and it was one of the best books that I have read.”
– David R.
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