Under the Health Information Portability and Accountability Act of 1996 (HIPAA), we must inform you of our policies concerning your health information and your rights. You may request a copy of this information. Your health information may be used for treatment, payment arrangements, or healthcare entities involved in your care. With your permission, we may disclose your health information to specific healthcare providers, insurance companies, or persons that you designate. In an emergency when you are not available, we may disclose health information directly relevant to your emergency care. We will use our best judgment when allowing a person to pick up prescriptions, medical supplies, test results, or similar forms of health information. We will disclose your health information when required by law. We may provide appointment reminders, information and lab results to your contact address or telephone number. Armed forces personnel might have health-related information released in support of national security. You have access to your health information in a format you request. All requests should be in writing if possible. You may request a list of the instances we have provided your healthcare information for other than healthcare reasons. You may request more-than-normal restriction to your healthcare information, but we do not have to honor your request unless we agree. You may request alternative forms of communications and we are obliged to try and honor your request. If you request that we alter your medical records, we are obliged to try to honor your request unless we disagree. We may charge you for our services in all the above matters. You have the right to revoke this consent in writing, however it shall not be retroactive. If you are dissatisfied with our service regarding healthcare information, please contact us.
