The disclaimer must be legible and in an enclosed box. On the Cohabitation Page, fill in the information, if available.No, you may not continue to use certificates without the new consumer notice in a box at the top of the certificate after January 1. The County Recorder will take a document(s) that California law says must be recorded, as long as you pay the fees and taxes. To complete this HIPAA Acknowledgement Form, simply fill out the fields with the requested information. Fill out the Client Intake Form before your first appointment. Client Intake Form. Forms. NDAs that prevent people from speaking about any of these acts usually do not hold up in court, even if they are otherwise valid. Please fill in the Exhibit A Related Party Individual Acknowledgment as described below. Q: How do I fill out the accreditation application?