NOTICE OF PRIVATE POLICY Logo
  • NOTICE OF PRIVATE POLICY

  • 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 (as a patient of this practice) may be used and disclosed an how you can get access to your individually identifiable health information.

  • Clear
  • Please review this notice carefully and check the box that you agree to these terms.

  • Should be Empty: