HIPAA PRIVACY STATEMENT
We are obligated by law to:
- Maintain the privacy of your Protected Health Information (PHI)
- Provide you with this notice about our legal duties and privacy practices
- Follow the terms of the notice currently in effect
Changes to this notice
Complaints
Use and disclosure of your medical information:
Your rights regarding your medical information:
Right to inspect and copy: You have the right to review and receive a copy of your medical information maintained by our facility. To request access, please submit a written [email protected] or to our address provided. We may charge a reasonable fee for copying and associated supplies.
Right to amend: If you believe that your medical information is incorrect or incomplete, you may request an amendment. Your request must be made in writing, explaining the reason, and submitted to [email protected] or our address provided. We may deny your request under certain circumstances.
Right to accounting of disclosures: You have the right to request a list of disclosures we have made of your medical information. Your request should be in writing, specifying the desired time period, and sent to [email protected] or our address provided. Additional accountings may incur a fee.
Right to request confidential communications: You have the right to request confidential communication regarding your medical matters. To make this request, please submit it in writing to [email protected] or our address provided, specifying the desired communication method.
Right to request restrictions: You have the right to request restrictions on the use or disclosure of your medical information for treatment, payment, or healthcare operations. We are not obligated to agree to your request, except in certain circumstances. To request restrictions, please submit your written request to [email protected] or our address provided.
Right to a copy of this notice: You have the right to request a paper copy of this notice at any time. To obtain a copy, please submit your request in writing to [email protected] or our address provided.
