HIPAA Notice

This notice describes how your medical information may be used and disclosed and how you can access this information. Please review it carefully.

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Effective Date: December 8, 2025

YOUR HEALTH INFORMATION RIGHTS

We are committed to protecting your privacy and complying with the Health Insurance Portability and Accountability Act (HIPAA). This notice explains your rights and our legal duties regarding your health information.

Protected Health Information

Your Protected Health Information (PHI)

PHI includes information about your health, treatment, and payment for services.

Use and Disclosure

How We May Use or Disclose PHI

We may use or disclose your PHI for:

  • Treatment – communicating with doctors, nurses, specialists, and caregivers involved in your care
  • Payment – submitting claims to insurance companies or verifying benefits
  • Healthcare Operations – quality assessment, staff training, accreditation, and regulatory compliance

We may also disclose PHI as permitted or required by law, such as for public health reporting, abuse/neglect reporting, or law enforcement purposes.

Authorization Required

Uses Requiring Authorization

We will not use or disclose your PHI for purposes such as marketing or the sale of PHI without your explicit written permission.

Your Rights

Your Rights

You have the right to:

  • Request a copy of your medical record
  • Request corrections to your record
  • Request restrictions on how your PHI is used
  • Request confidential communications
  • Receive a list of disclosures
  • File a complaint if you believe your rights have been violated
Our Responsibilities

Our Responsibilities

We are required to:

  • Maintain the privacy of your PHI
  • Provide you with this notice
  • Abide by the terms of the current notice
Contact

Contact

If you have questions about this HIPAA notice or wish to exercise your rights, please contact our facility's Privacy Officer at the number listed on the Contact page.