Notice of Privacy Practices

e.  You have the right to request an accounting of certain disclosures of information that have been made about you. This listing includes those disclosures of your information other than treatment, payment or healthcare purposes and is within a specified period of up to six years. The first listing of disclosures is provided as a complimentary service to you, but you may be charged a reasonable fee for additional requests made within a twelve-month period.

f.  You have the right to request that you receive communications regarding your information in a certain manner or at a certain location.

g.  You have the right to revoke an authorization for disclosure of information that was previously given.

Our Responsibilities

Our practice is required to:

a.  Maintain the privacy of your health information.

b.  We will provide you with a copy of this notice of our legal duties and privacy practices with respect to the information we collect and maintain about you.

c.  We will notify you if we are unable to agree to a requested restriction of your information.

d.  We will accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations.                                  Previous                   Next