NOTICE OF PRIVACY POLICY

Protecting the privacy of your personal health information is important to us. Disclosure of your protected health information without authorization is strictly limited to defined situations that include emergency care, quality assurance activities, public health, research, and law enforcement activities. Any other disclosures for the purposes of treatment, payment or practice operations will be made only after obtaining your consent. You may request restrictions on your disclosures. You may inspect and receive copies of your records with a request. You may request to view changes to your records. In the future, we may contact you for appointment reminders, announcements, and to inform you about our practice and its staff.

Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), you have certain rights to privacy regarding your protected health information. This information can and will be used to:

• Conduct, plan, and direct your treatment and follow up with multiple healthcare providers who may be involved in that treatment directly or indirectly.
• Obtain payment from third party payers.
• Conduct normal healthcare operations such as quality assessments and physician’s certifications.

A more complete description can be requested. You can request, in writing, that you restrict how your personal information is used and or disclosed.