General Privacy Info

Patient Info »

General Privacy Info

Privacy Practice

Our Privacy Practices are posted in our office. A copy can be provided upon your request.

Patient Rights

  • Be treated with respect and recognition of my dignity and right to privacy.
  • Receive care that is considerate and respects my personal values and belief system
  • Personal privacy and confidentiality of information.
  • Reasonable access to care, regardless of my race,   religion, gender, sexual orientation, ethnicity, age or disability.
  • Participate in an informed way in the decision making process regarding my treatment planning.
  • Discuss with my treating physician appropriate/medically necessary treatment options for my conditions regardless of cost / benefit coverage.
  • Adequate and humane services regardless of the source (s) of financial support.
  • Voice complaints or appeals about my managed care company, provider of care or privacy practices.
  • Be informed of rules and regulations concerning my own conduct.
  • Request access to my Protected Health Information (PHI)
  • Request to inspect and obtain a copy of my PHI, to amend my PHI or to restrict the use of my PHI, and to receive an accounting of disclosures of PHI

Patient Responsibilities

  • I agree to provide (to the extent possible) my treating physician information needed in order to receive appropriate care.
  • I understand that it is my responsibility to understand my health problems and participate, to the degree possible, in developing, with my treating physician, agreed upon treatment goals.
  • I understand that it is my responsibility to follow plans and instructions for care that I have agreed upon with my treating physician.