Patient Privacy Policy

Notice of Privacy Practices

This notice describes how your health information may be used and disclosed and how you can get access to this information. Please review it carefully. The privacy of your health information is important to us.

Our Legal Duty

Federal and state laws require us to maintain the privacy of your health information. We are also required to provide this notice about our office’s privacy practices, our legal duties and your rights regarding your health information. We are required to follow the practices that are outlined in this notice while it is in effect. This notice takes effect January 1st 2019 and will remain in effect until we replace it.

We reserve the right to change our privacy practices and the terms of this notice at any time, provided such changes are permitted by applicable law. We reserve the right to make changes in our privacy practices and the new terms of our notice effective for all health information that we maintain, including health information we created or received before we made the changes. Before we make a significant change in our privacy practices, we will change this notice and make the new notice available upon request. For more information about our privacy practices or additional copies of this notice, please contact us (contact information below).

Uses and Disclosures of Health Information

We use and disclose health information about you for treatment, payment and health care operations.

For Example:

How we may use and share your health information

• To treat you

• To obtain payment for your treatment

• To run our practice and improve our services

• Upon your request with your written authorization

• With your family and friends

• Via unsecured email, only upon your request

• With persons involved in your care

• For the marketing of health-related services 

• In the event of a change of ownership

• When required by law

• For purposes of public health

• To report abuse or neglect

• For purposes of national security

• Appointment reminders

• Sign-in sheets and announcements

You have the right to 
Your Rights

• Access your medical record

• Receive an accounting of disclosures of your   information

• Restrict our sharing of your information

• Alternative communications

• Be notified of an impermissible use of your information

• Amend your information

• File a complaint against our office and with the U.S. Department of Health and Human Services