Your medical record is strictly confidential. We are required by law to protect the privacy of your medical information. We may only use and disclose your health information when authorized by you, in writing, or for the purposes of treatment, payment and healthcare operations or as required by law. The following ‘Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information.
Please read the Notice of Privacy Practices above and then complete and turn in the Acknowledgment and Consent form.