Sitka AK dentist Thomas E. Jacobsen DDS general dentistry in Alaska
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Our Notice of Privacy Practices is in PDF format. If you do not have Acrobat Reader, get a free copy by clicking on the link below. After reading the Notice of Privacy Practices, print the Acknowledgement form below, sign it, and bring it in.

Adobe PDFAdobe ReaderNotice of Privacy Practices (Acrobat PDF form)

Acknowledgement of Receipt of Notice of Privacy Practices
(web page)