Your Information. Your Rights. Our Responsibilities. 

This notice describes how medical information about you may be used and disclosed and how you can access this information. Please review it carefully. 

Your Rights 

You have the right to:

Your Choices 

You have some choices in the way that we use and share information as we: 

Our Uses and Disclosures 

We may use and share your information as we: 

Your Rights 

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you. 

Ask us to correct your medical record.

Request confidential communications. 

Ask us to limit what we use or share. 

Get a list of those with whom we’ve shared information. 

Get a copy of this privacy notice. 

You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly. 

Choose someone to act for you. 

File a complaint if you feel your rights are violated. 

Your Choices 

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions. In these cases, you have both the right and choice to tell us to: 

If you cannot tell us your preference, for example, if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety. 

In these cases, we never share your information unless you give us written permission:

In the case of fundraising: We may contact you for fundraising efforts, but you can tell us not to contact you again. 

Our Uses and Disclosures 

How do we typically use or share your health information? 

We typically use or share your health information in the following ways. 

Example: A doctor treating you for an injury asks another doctor about your overall health condition. 

Example: We use health information about you to manage your treatment and services. 

How else can we use or share your health information? We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We must meet many conditions in the law before we can share your information for these purposes. For more information, see

Help with public health and safety issues. 

We can share health information about you for certain situations, such as:

Our Responsibilities 

For more information see:

Changes to the Terms of this Notice

We can change the terms of this notice, which will apply to all information we have about you. The new notice will be available upon request in our office and on our website.