CONFIDENTIALITY NOTICE: The contents of this chart, including any attachments, are intended solely for the healthcare provider directly involved in the patient’s care. This information may contain confidential and/or privileged material that is legally protected under the Health Insurance Portability and Accountability Act (HIPAA). Any unauthorized disclosure or use of this information may result in violations of HIPAA, leading to civil or criminal penalties.

If you are not the intended recipient or authorized to view this information, or if this document has been addressed to you in error, please immediately notify Vernon Emergency Medical Services at PO BOX 911, Vernon, NJ 07462, by responding to this notice or by calling 908.998.0911. After notifying, please shred this document and any associated attachments to ensure complete destruction. Any unauthorized review, use, dissemination, copying, or storage of this document and its attachments is strictly prohibited and may constitute a breach of HIPAA regulations.

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