SUMMARY OF NOTICE OF PRIVACY PRACTICES (PROVIDER)

 

The Notice of Privacy Practices covers services provided to you by our office.  We are required by law to maintain the privacy of protected health information and to provide you with the Notice of our legal duties and privacy practices with respect to protected health information. Protected health information. is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services.

 

The Notice describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations.  Other uses and disclosures of your protected health information will be made only with your written authorization, unless otherwise permitted or required by law.  The Notice also describes your rights to access and control your protected health information.  Further, the Notice informs you of your rights to complain to us or the Secretary of Health and Human Services if you believe your privacy rights have been violated by us.

 

We are required to abide by the terms of the Notice.  We may change the terms of our notice, at any time.  The new notice will be effective for all protected health information that we maintain at that time.  Upon your request, we will provide you with any revised Notice. You may contact our office by, calling our Office Manager and requesting that a revised copy be sent to you in the mail, or asking for one at the time of your next appointment.

 

Please read this Notice carefully.

 

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