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.
Our Responsibilities
- We are required by law to maintain the privacy and security of your protected health information (PHI).
- We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
- We must follow the duties and privacy practices described in this notice and give you a copy of it.
- We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time.
How We May Use and Disclose Your Information
- For your treatment and to provide you with healthcare services.
- To bill and receive payment for your health care services.
- For our healthcare operations, such as quality assessment and improvement activities.
- As required by law, including for public health and safety issues, law enforcement, and other government requests.
Your Rights
- You have the right to access and receive a copy of your medical record.
- You may request corrections to your health information.
- You may request restrictions on certain uses and disclosures of your information.
- You may request confidential communications.
Contact Us
If you have questions about this HIPAA Notice, please contact us at: