Acknowledgment of Privacy PracticesPrivacy Policy(Required) Please, check the boxI acknowledge that I have received a copy of Nova Family Podiatry, P.C. Notice of Privacy Practices. This notice describes how Nova Family Podiatry, P.C. may use and disclose my protected health information, certain restrictions on the use and disclosure of my health information, and rights I may have regarding my protected health information.Name of Patient and/or Personal Representative(Required)Relationship to Patient(Required)SignatureDate(Required) Month Day YearCAPTCHA Call Today+1 (610) 631-3338Fax: +1 (610) 631-03133125 Ridge Pike, Suite BEagleville, Pa 19403Schedule Now