HIPAA Notice of Privacy Practices
The Health Insurance Portability and Accountability Act (HIPAA) provides safeguards to
protect your privacy. HIPAA provides certain rights and protections to you as the patient
on who may see or be notified of your Protected Health Information (PHI). These
restrictions do not include the normal interchange of information necessary to provide
you with office services. We balance these rights with our goal of providing you with
quality professional service and care. As such, we have adopted the following policies:

1. Patient information will be kept confidential except as is necessary to provide services
or to ensure that all administrative matters related to your care are handled
appropriately. This specifically includes the sharing of information with other healthcare
providers, laboratories, health insurance payers as is necessary and appropriate for your
care. Patient files may be stored in open file racks and will not contain any coding which
identifies a patient's condition or information that is not already a matter of public
record. The normal course of providing care means that such records may be left, at
least temporarily, in administrative areas such as the front office, examination rooms etc.
Those records will not be available to persons other than office staff. You agree to the
normal procedures utilized within the office for the handling of charts, patient records,
PHI, and other documents or information

2. It is the policy of this office to remind patients of their appointments. We may do this
by telephone, e-mail, U.S mail, or by any means convenient for the practice and/or as
requested by you. We may send you other communications informing you of changes to
office policy and new technology that you might find valuable or informative.

3. The practice utilizes a number of vendors in the conduct of business. These vendors
may have access to PHI but must agree to abide by the confidentiality rules of HIPAA.

4. You understand and agree to inspections of the office and review of documents,
which may include PHI by government agencies or insurance payers in normal
performance of their duties.

5. You agree to bring any concerns or complaints to the attention of the office manager.

6. Your confidential information will not be used for marketing or advertising of
products, goods or services.

7. We agree to provide patients with access to their records in accordance with state and
federal laws.

8. We may change, add, delete or modify any of these provisions to better serve the
needs of both the patient and the practice.

9. You have the right to request restrictions in the use of your protected health
information and to request change in certain policies used within the office concerning
your PHI. However, we are not obligated to alter internal policies to conform to your
request.