We are required by law to notify you of your privacy rights regarding your health information.

Your health information at our Clinic will be provided to you after it has been reviewed, but

remain confidential as required by state and federal laws.

DISCLOSURES

We may also use and disclose health information for the following purposes:  health care

services in the Clinic, treatment coordination with your other health care providers, billing and

payment, health insurance, appointment reminders, and  if required by law (judicial hearings,

abuse or neglect, or national security).  Health information will be provided to parents of minor

children.  Health information (or limited health information) may also be provided with your

request to other parties you designate, such as: children of elderly patients, or other family

members or friends, or to third parties (such as schools, nursing homes, or group care homes).

EXCEPTIONS

Your health care or personal information will not be used for marketing, or given or sold to third

parties.  Exceptions: (1) We may use email addresses to send free nutrition newsletters or

notices to our patients.  (2) Certain case histories may be used anonymously as examples.  (3)

Certain lab test data and demographic data may be used for research purposes, but will be

kept coded and anonymous.  However, if you object to any of these, you may notify us in

writing, and your information will be excluded.

PATIENT RIGHTS

You may review or get copies of your health information, with limited exceptions.  A fee will be

charged for copying and staff time.   You may have a list of disclosed health information and

recipients.   You may request alternative means or location for communications.  You may

place limited restrictions on our use of your health information, or request that we amend your

health information; such requests must be made in writing and provide reasons, and we may

deny your request under certain circumstances.

If you are concerned about violations of your health information you may contact us, or contact

the U.S. Department of Health and Human Services.

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