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.
Your protected health information (i.e., individually identifiable information, such as names, dates, phone/fax numbers, email addresses, home addresses, social security numbers, and demographic data) may be used or disclosed by us in one or more of the following aspects:
We may contact you to provide appointment reminders on information about treatment alternatives or other health-related-benefits and services that may -be of interest to you.
Any other uses or disclosures of your protected health information will made only after obtaining your written authorization, which you have the right to revoke.
Under the new privacy rules, you have the right to:
You may, without risk of retaliation, file a complaint to any violation by us of your privacy rights with us (by submitting inquiries to our Privacy Contact Person at our office address) or the United States Secretary of Health and Human Services (which must be held within 180 days of violation).
Fill out the form below and someone from our office will contact you regarding your questions / comments.