Right to Restrict Disclosures:
You have the right to restrict disclosures of PHI (Personal Health Information) to health plans under certain circumstances. If you wish to add that layer of protection, you will need to have a signed document stating your intention in your file which must include option for paid-in-full out-of-pocket services and insurance companies will not be billed.
We Care About Your Privacy
Our Pledge Regarding Medical Information
The privacy of your medical information is important to us. We understand that your medical information is personal and we are committed to protecting it. We create a record of care and services you receive at our clinic. We need this record to provide you quality care and to comply with certain legal requirements. The notice provided will tell about the ways we may use and share medical information about you. It will also describe your rights and certain duties we have regarding the use and disclosure of medical information.