We keep a record of the health care services we provide you. You may ask to see and copy that record. You may ask to correct or amend that record. We will not disclose your record to others unless you direct us to do so or unless the law authorizes or compels us to do so. You may see your record or get more information about it by contacting a staff member.
Our Notice of Privacy Practices describes in more detail how your health information may be used and disclosed, and how you can access your information.
By my signature below, I acknowledge receipt of the Notice of Privacy Practices.