Your Information. Your Rights.

Our Responsibilities.

 

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

 

 

Your Rights

You have the right to:

 

⤠See page 2 for more information on these rights and how to exercise them

 

 

Your Choices

You have some choices in the way that we use and share information as we:

 

⤠See page 3 for more information on these choices and how to exercise them

 

 

Our Uses and Disclosures

We may use and share your information as we:

 

For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

 

Changes to the Terms of this Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site.

 

This Notice of Privacy Practices applies to the following organizations.

 

Notice of Privacy Practices • Page 5