Privacy Policy

Effective Date: April 14, 2003

We understand that your medical information is personal to you, and we are committed to protecting the information about you. As our patient, we create medical records about your health, our care for you, and the services and/or items we provide to you as our patient. By law, we are required to make sure that your PHI (Protected Health Information) is kept private. For more information about these rights please see the detailed Notice of Privacy Practice available from the Receptionist.

How will we use or disclose your information?

Here are a few examples (for more detailed information please see the receptionist for a copy of the full disclosure of our Privacy Policy).

For medical treatment
To obtain payment for our services
In an emergency situation
For appointment and patient recall reminders
To run our Practice efficiently and to ensure patients receive quality care
For research
To avert a serious threat to health and safety
For Work Comp programs
In response to certain requests arising from lawsuits or other disputes

Your Rights

You have certain rights regarding the information we maintain about you. These rights include:

The right to inspect and copy
The right to amend
The right to an accounting of disclosures
The right to request restrictions
The right to a paper copy of this notice
The right to request confidential communications

If you believe your privacy rights have been violated, you may file a complaint with the Practice or with the Secretary of the Department of Health and Human Services. To file a complaint with the practice, contact our Practice Manager. All complaints must be submitted in writing. You will not be penalized for filing a complaint.

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.

Effective Date: April 14, 2003

How will we use or disclose your information?

Here are a few examples (for more detailed information please see the receptionist for a copy of the full disclosure of our Privacy Policy).

Your Rights

You have certain rights regarding the information we maintain about you. These rights include:

How Can We Help You?

Contact Us