Notice of privacy practices

This notice describes how medical information about you may be used and disclosed and how you can get access to it. Please review it carefully.

Uses and disclosures

Treatment (your clinician and pharmacy), payment, and health-care operations. We do not sell PHI or use it for marketing without your written authorization.

Your rights

Access and copies of your record, amendment requests, an accounting of disclosures, restriction requests, confidential communications, and a paper copy of this notice. Complaints may be filed with us or with the U.S. Department of Health and Human Services without retaliation.

Contact

Privacy officer contact details to be published by the operator.

Template for review by the operator's counsel before launch; operator-specific entities, addresses and license numbers must be inserted.