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Yes. The Notice of Privacy Practice, by federal law, does not have to be signed ("acknowledged") in order to receive treatment. Medical practice providers are only required by law to make a good faith effort to provide the notice. If a patient declines, the service provider must document the refusal with a reason why. Additionally, signing said notice does not "mean that you have agreed to any special uses or disclosures of your health records."

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Q: Can a hospital still treat a patient who refuses to sign the Notice of Privacy Practice?
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