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Recent changes in the law require us to provide you with our privacy policy prior to downloading any forms from our site.

In addition, we are required by applicable federal and state laws to maintain the privacy of your protected health information. We are also required to give you this notice about our privacy practices, our legal duties, and your rights concerning your protected health information. We must follow the privacy practices that are described in this notice while it is in effect. This notice takes effect April 14, 2003, and will remain in effect until we replace it.

We reserve the right to change our privacy practices and the terms of this notice at any time, provided that such changes are permitted by applicable law. We reserve the right to make the changes in our privacy practices and the new terms of our notice effective for all protected health information that we maintain, including medical information we created or received before we made the changes.

You can download our privacy policies here:

Patient Registration Form 2009

Patient Authorization to Release Health Information

Notice of Privacy Practices

Quick Reference Regarding Disclosures Requiring/Not Requiring Written Patient Authorization

These files are in PDF format. You will need the Adobe Acrobat Reader to view and print these forms. If you do not have this program, you can download it here for free.

Get the Free Adobe Acrobat Reader

In order to continue and download patient forms, you must agree to the statement below.

I acknowledge that I was provided a copy of the Notice of Privacy Practices of Absolute Foot Care and the offices of Dr. James Longobardi, and that I have read (or had the opportunity to read if I so chose) and understood the Notice.

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450 4th Avenue, Suite 401, Chula Vista, CA 91910 • Phone (619) 425-5500 / Fax (619) 425-5589

Disclaimer: Information and articles provided on this website are not to be construed
as medical advice. Please see Dr. Longobardi or your personal doctor for foot care.


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