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As Required by the Privacy Regulations Created as a Result of the Health Insurance
Portability and Accountability Act of 1996 (HIPAA)
This notice describes how health information about you or your child
(as a patient of this practice) may be used and disclosed, and how you
can get access to your Individually Identifiable Health Information (IIHI).
Please Review This Notice Carefully!
A. Our commitment to your privacy
Our practice is dedicated to maintaining the privacy of your individually identifiable
health information (IIHI). In conducting our business, we will create records regarding
you and the treatment and services we provide to you. We are required by law to maintain
the confidentiality of health information that identifies you. We also are required by law
to provide you with this notice of our legal duties and the privacy practices that we maintain
in our practice concerning you IIHI. By federal and state law, we must follow the terms of the
notice of privacy practices that we have in effect at the time.
We realize that these laws are complicated, but we must provide you with the following
important information:
- How we may use and disclose your IIHI
- Your privacy rights in your IIHI
- Our obligations concerning the use and disclosure of your IIHI
The terms of this notice apply to all records containing your IIHI that
are created or retained by our practice. We reserve the right to revise
or amend this Notice of Privacy Practices. Any revision or amendment to
this notice will be effective for all of your records that our practice has
created or maintained in the past, and for any of your records that we may
create or maintain in the future. Our practice will post a copy of our current
Notice in our offices in a visible location at all times, and you may request a
copy of our most current Notice at any time.
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